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r <br /> -71 <br /> MOBILE-CELLULAR-COMMUNICATION TOWER a c <br /> LAND USE PERMIT APPLICATION = to <br /> F N <br /> 3m, + <br /> Burnett County, WI <br /> G �, <br /> Permit Fees: ''F:' VI <br /> New Tower $3000 `��9 <br /> Class 1 Collocation $3000 1 <br /> .., <br /> Class 2 Collocation $50011. <br /> i <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is up to three times the normal fee. c <br /> *New Tower and Class l Collocation—this fee includes permits for related structures on the ground. r <br /> *Class 2 Collocation—this fee does NOT include permits for structures on the ground. A separate land use ° b <br /> permit will be needed for structures on the ground. i <br /> ta <br /> Burnett County regulates the placement of and/or modification to towers in accordance with Chapter 30,Burnett County $ k <br /> Code of Ordinances,Chapter 66.0404 Wisconsin Stats.,and 2013 Wisconsin Act 20(which was enacted by Wisconsin on <br /> tl <br /> 7/1/2013). This permit application,once received by the Land Services Department,shall serve as the official notification to beein = <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. o <br /> Class 1 Collocation means the placement of a new mobile service facility on an existing support structure,such as the t <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. `? <br /> it <br /> Class 2 Collocation means the placement of a new mobile service facility on an existing support structure,such that the5'2 --.\ <br /> owner of the facility does not need to construct a free standing support structure for the facility or engage in substantial a <br /> modification. C <br /> w '— <br /> Substantial <br /> Substantial modification means the modification of a service support structure including the mounting of an antenna <br /> on the structure that does any of the following: ,9 <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 10ro <br /> percent or more u. <br /> - Measured at the level of the appurtenance added to the structure as a result of the modification,increases the 5'. (�D� <br /> width of the support structure by 20 ft or more,unless a larger area is needed for collocation = v, ' 1 <br /> - Increases the square-footage of an existing equipment compound to a total area of more than 2,500 square feet c 7) <br /> Applicant Complete All Sections Below This Line —] g,.)). <br /> Parcel Owner Name: SMJ International o/b/o AT&T r <br /> w <br /> Parcel Owner Mailing Address: 49030 Pontiac Trail, Suite 100 m <br /> C") z <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 'F/e/e�RRec:ire20 429 <br /> Applicant's Mailing Address: 49030 Pontiac Trail, Suite 100, Wixom, MI 48393 5 .N / 7 `` <br /> m <br /> City State Zip o , __ <br /> Applicant's Telephone Number: 616-916-3062 o r �l=—)tel <br /> < � TR <br /> Applicant's Email: aadelman@smj-11c.com m ost C <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. n.0 I ) l^rJ <br /> o r0 n o0 1I u I! <br /> DLetter ❑Phone ['Email r <2 N e <br /> w <br /> Page l of 5 XI 3 <br /> Burnett County, WI Tower Application—Rev 1/2020 iiiii <br /> g a - <br /> a <br /> K <br />