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• <br /> vp <br /> MOBILE-CELLULAR-COMMUNICATION TOWER r <br /> LAND USE PERMIT APPLICATION = `° <br /> cc h.1 <br /> Burnett County, WI 2. <br /> o <br /> w <br /> Permit Fees: <br /> New Tower $3000 'V* O <br /> Class 1 Collocation $3000 <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. o n <br /> *New Tower and Class I Collocation—this,fee includes permits for related structures on the ground. <br /> *Class 2 Collocation—this fee does NOT include permits for structures on the ground. A separate land use ?. fe <br /> permit will be needed for structures on the ground. <br /> cnw <br /> Burnett County regulates the placement of and/or modification to towers in accordance with Chapter 30,Burnett County = \ <br /> Code of Ordinances,Chapter 66.0404 Wisconsin Stats.,and 2013 Wisconsin Act 20(which was enacted by Wisconsin on .o <br /> 7/1/2013). This permit application,once received by the Land Services Department,shall serve as the official notification to begin `2, <br /> application review,and permit issuance time constraints referenced in the above mentioned regulations. Once the application 7 M <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. n <br /> in 2 <br /> Class 2 Collocation means the placement of a new mobile service facility on an existing support structure,such that the o —1, t <br /> owner of the facility does not need to construct a free standing support structure for the facility or engage in substantial <br /> modification. 9 <br /> C7 / <br /> Substantial modification means the modification of a service support structure including the mounting of an antenna CDf\ <br /> on the structure that does any of the following: <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 _ <br /> - For structures with an overall height of more than 200 ft,increases the overall height of the structure by 10 n <br /> percent or more p N <br /> - Measured at the level of the appurtenance added to the structure as a result of the modification,increases the <br /> width of the support structure by 20 ft or more,unless a larger area is needed for collocation C4 00 <br /> - Increases the square-footage of an existing equipment compound to a total area of more than 2,500 square feet <br /> 0 <br /> z <br /> Applicant Complete All Sections Below This Line - <br /> Parcel Owner Name: SMJ International o/b/o AT&T ^, <br /> w <br /> Parcel Owner Mailing Address: 49030 Pontiac Trail, Suite 100 0 <br /> n z <br /> Wixom, MI 48393 n <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 = Fee Rec: ala <br /> Q <br /> Applicant's Mailing Address: 49030 Pontiac Trail, Suite 100, Wixom, MI 48393 o v- -+ `�� 7 <br /> City State Zip >" <br /> zC..JApplicant's Telephone Number: 616-916-3062 ° w <br /> Fj a Hi <br /> Applicant's Email: aadelman@ smj-11c.corn cr W „ 2 <br /> H < 3 <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. flifil <br /> o 8 121 <br /> 0 <br /> oNo <br /> ❑Letter ❑Phone E Email r0 1 N o <br /> { o <br /> N <br /> Page 1 of 5 rnel <br /> PO <br /> Burnett County,WI Tower Application—Rev 1/2020 < 3 <br /> cr <br /> a <br /> 3 <br /> ro <br />