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MOBILE-CELLULAR-COMMUNICATION TOWER r E77 <br /> LAND USE PERMIT APPLICATION = = IN <br /> . <br /> Burnett County, WI <br /> Permit Fees: VA <br /> New Tower $3000S <br /> Class I Collocation $3000 <br /> 1 <br /> Class 2 Collocation $500 <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is up to three times the normal fee. n p_ <br /> *New Tower and Class/Collocation—this fee includes permits for related structures on the ground. 7. <br /> *Class 2 Collocation—this fee does NOT include permits for structures on the ground. A separate land use ° <br /> permit will be neededfor structures on the ground. <br /> 0 <br /> Burnett County regulates the placement of and/or modification to towers in accordance with Chapter 30,Burnett County i' (� <br /> Code of Ordinances,Chapter 66.0404 Wisconsin Stats.,and 2013 Wisconsin Act 20(which was enacted by Wisconsin on �-, a` <br /> 7/1/2013). This permit application,once received by the Land Services Department,shall serve as the official notification to begin r <br /> Et <br /> application review,and permit issuance time constraints referenced in the above mentioned regulations. Once the application .0 <br /> is reviewed,the applicant will be notified if more information is needed,or an issued permit will be mailed to the applicant. p , <br /> Class 1 Collocation means the placement of a new mobile service facility on an existing support structure,such as the <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. c '° <br /> 3 z <br /> It <br /> Class 2 Collocation means the placement of a new mobile service facility on an existing support structure,such that the <br /> owner of the facility does not need to construct a free standing support structure for the facility or engage in substantial c <br /> modification. <br /> Substantial modification means the modification of a service support structure including the mounting of an antenna 4 <br /> 1. <br /> ir <br /> on the structure that does any of the following: ,.d <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 0 <br /> - For structures with an overall height of more than 200 ft,increases the overall height of the structure by 10 ', <br /> percent or more <br /> - Measured at the level of the appurtenance added to the structure as a result of the modification,increases the E. a <br /> width of the support structure by 20 ft or more,unless a larger area is needed for collocationv, <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 /> v <br /> Parcel Owner Mailing Address: 49030 Pontiac Trail, Suite 100 z G <br /> AT 7:1 <br /> Wixom, MI 48393 <br /> City State Zip <br /> Applicant's Name: Aaron Adelman of SMJ International <br /> Applicant's Business Name: SMJ International o/b/o AT&T z Fee Rec:51.-- <br /> ) <br /> Applicant's Mailing Address: 49030 Pontiac Trail, Suite 100, Wixom, MI 48393 5 1 r'4(? <br /> City State Zip T. <br /> z <br /> Applicant's Telephone Number: 616-916-3062 o J�J <br /> ff <br /> Applicant's Email: aadelman@ smj—1 lc.comx r- <br /> C <br /> co CA <br /> CDC z <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. , o Eiiim <br /> ❑Letter EPhone ❑X Email o v o Q. <br /> m -- CZ, <br /> c <br /> Page lof5B <br /> Burnett County,WI Tower Application— Rev 1/2020 m Z _ =:;fiii...1 <br /> 0 <br /> a <br /> a <br /> 4 <br /> -0 <br />