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MOBILE-CELLULAR-COMMUrIICATION TOWER r <br /> LAND USE PERMIT APPLICATION <br /> Burnett County,WI a <br /> Permit Fees: <br /> New Tower 1 53000 0 <br /> Class 1 Collocation 53000 <br /> Class 2 Collocation 5500 <br /> •NOTE:Ater-te-ilet(when no permit is obtained prior to construction)is three tines the normal fee. 4 <br /> 'New Tower and Class 1 Collocation-this fee inrhdes permlrs fa related strucf a on the growd S <br /> eClau 2 Collocation-Aisfa does NOT nrclude permitrjor sbuctkm on the v mid. A separate land usepermil <br /> Will be needed structures m Ae ground H <br /> Burrett Camay regulates the placement of suntan modification to towers in accordance with Chapter 30,Burnett Coady <br /> Code of Ordirnnces,C7rapter 66.0404 Wisconsin Stab,and 2013 Wisconsin Act 20(which was enacted by Wisconsin on <br /> 7l12013). This permit application,once received by the Zoning Office,shall save as the official notification to begin r. <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 appticam. <br /> Class I Collocation mems the placement of a new moble service futility on an existing support stnhemre,such in the <br /> owner of the facility does not need to cormna:t a fire stmMug support structure for the facility,but does seed to engage <br /> in substantial modification. f1 <br /> S b <br /> Class 2 Collocation memos the placement of a new moble service fertility on an existing support structure,such that the o F <br /> owner of the facility does not reed to construct a free sund'mg support structure for the facility or engage in substantial a �1 <br /> modification. <br /> O � <br /> J <br /> Substantial modification means the modification of a service support structure including the mooning of an antrum <br /> on the structure that does any of the following: re <br /> - For structures with an overall 6cight of 200 ft or less,increases the overall height of the structure by more than N <br /> 20 it <br /> - For structures with m overall height of more ton 200 R increases the overall height of the structure by 10 t7 <br /> percent or more re- U <br /> Measured at the level of the appurtenance added to the structure as a result of the modification,increases the B. <br /> width of the support sbudu a by 20 ft or more,unless a larger arca is needed for collocation y <br /> increases the squa footage of an existing equipment compound to a Iota]mea of more than 2,500 square fat c -L- <br /> e <br /> I r11 \ <br /> H � ) <br /> PwmlOwner Nam:nAiiih 01<.6#ChEK r <br /> Parcel Owner Mailing Address: -^-3 414 A !'f z <br /> z 1 <br /> S ppott� G..r- SYd'o! <br /> city state zip <br /> Applicant's Name: &Ct4 Z06s lx AAcWF <br /> Applicant's Business Name: #6Vhg-tSvc^ J/ r L , n Fee Rec <br /> Applicant's Mailing Address: 131-o Ae lulu ✓J �'�� h'rJ :5-57-n <br /> City State zip <br /> Applicant's Telephone Number- l0/3- 7.23-S/Pey <br /> Applicant's Email: Ltd n Lr/9 3 i T6 a'd,5 , rises ___ <br /> if staff has a question about this application how do you prefer to be contacted? (bock one below. _ <br /> EILetter Phone Q&nail <br /> Page 1 of 5 <br /> Barnett County,WI Tower Application—Rev 3/2015 <br /> D ECEVE <br /> MAR 2 0 2015 0 <br /> BURNETT COUNTY <br /> ZONING <br />