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MOBILE-CELLULAR-COMMUNICATION TOWER r <br /> LAND USE PERMIT APPLICATION = b <br /> F. N <br /> n <br /> Burnett County, WI f <br /> 2 W <br /> Permit Fees: 1 `° `.1 <br /> O <br /> New Tower $3000 0 <br /> Class I Collocation $3000 <br /> Class 2 Collocation $500 <br /> n <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is up to three times the normal fee. <br /> *New Tower and Class I Collocation–this fee includes permits forelated structures on the ground. r <br /> JO,- . <br /> *Class 2 Collocation–this fee does NOT include permits for structures on the ground. A separate land use ° <br /> permit will be needed for structures on the ground. c, <br /> a <br /> 0 <br /> Burnett County regulates the placement of and/or modification to towers in accordance with Chapter 30,Burnett County m^ <br /> q <br /> Code of Ordinances,Chapter 66.0404 Wisconsin Stats.,and 2013 Wisconsin Act 20(which was enacted by Wisconsin on ^v <br /> CD <br /> 7/1/2013). This permit application,once received by the Land Services Department,shall serve as the official notification to begin <br /> application review,and permit issuance time constraints referenced in the above mentioned regulations. Once the application <br /> is reviewed,the applicant will be notified if more information is needed,or an issued permit will be mailed to the applicant. T o <br /> G <br /> Class 1 Collocation means the placement of a new mobile service facility on an existing support structure,such as the <br /> ..4k <br /> • <br /> owner of the facility does not need to construct a free standing support structure for the facility,but does need to engage <br /> in substantial modification. n <br /> u, <br /> 4 <br /> Class 2 Collocation means the placement of a new mobile service facility on an existing support structure,such that the o K' <br /> owner of the facility does not need to construct a free standing support structure for the facility or engage in substantial n <br /> modification. <br /> d11► <br /> Substantial modification means the modification of a service support structure including the mounting of an antenna CD <br /> on the structure that does any of the following: - .� 11 <br /> - For structures with an overall height of 200 ft or less,increases the overall height of the structure by more than N ° <br /> 20 ft I "\.. \ <br /> - For structures with an overall height of more than 200 ft,increases the overall height of the structure by 10ao <br /> percent or more g <br /> - Measured at the level of the appurtenance added to the structure as a result of the modification,increases the 5. <br /> width of the support structure by 20 ft or more,unless a larger area is needed for collocation <br /> - Increases the square-footage of an existing equipment compound to a total area of more than 2,500 square feet c <br /> Applicant Complete All Sections Below This Line -t <br /> Parcel Owner Name: SMJ International o/b/o AT&T <br /> r <br /> A, <br /> Parcel Owner Mailing Address: 49030 Pontiac Trail, Suite 100 m <br /> nz <br /> n <br /> Wixom, MI 48393 n <br /> City State Zip <br /> Applicant's Name: Aaron Adelman of SMJ International <br /> LD <br /> Applicant's Business Name: SMJ International o/b/o AT&T x � <br /> Fee Rec: Z— <br /> cn <br /> Applicant's Mailing Address: 49030 Pontiac Trail, Suite 100, Wixom, MI 48393 o X145 y <br /> City State Zip <br /> z O <br /> Applicant's Telephone Number: 616-916-3062 0 <br /> < m Uuu <br /> Applicant's Email: aadelman@ sm-j-1 lc.com rri• a <br /> m c --< 0 <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. -, ,a) ry [frill <br /> ❑Letter ❑Phone ❑X Email ? v n r o <br /> • �g c Q <br /> Page l of 5 n 3 <br /> Burnett County, WI Tower Application — Rev 1/2020 RIm <br /> o _J <br /> a <br />