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MOBILE-CELLULAR-COMMUNICATION TOWER c r <br /> a g• b <br /> LAND USE PERMIT APPLICATION <br /> o . N <br /> Burnett County, WI a N <br /> ir,IL,' <br /> Permit Fees: s <br /> 0 <br /> New Tower $3000 0 <br /> Class 1 Collocation $3000 " <br /> Class 2 Collocation $500 r r <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is up to three times the normal fee. '�06*New Tower and Class 1 Collocation-this fee includes permits for related structures on the ground. r 4 '' <br /> *Class 2 Collocation-this fee does NOT include permits for structures on the ground. A separate land use ° G <br /> permit will be needed for structures on the ground. <br /> A, <br /> 0 <br /> Burnett County regulates the placement of and/or modification to towers in accordance with Chapter 30,Burnett County , 1 <br /> Code of Ordinances,Chapter 66.0404 Wisconsin Stats.,and 2013 Wisconsin Act 20(which was enacted by Wisconsin on 'f:° <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. o if <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 /> Class 2 Collocation means the placement of a new mobile service facility on an existing support structure,such that the o <br /> owner of the facility does not need to construct a free standing support structure for the facility or engage in substantial o <br /> modification. <br /> d <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: ,.o n . <br /> - For structures with an overall height of 200 ft or less,increases the overall height of the structure by more than °Q t."----, <br /> 20 ft <br /> - For structures with an overall height of more than 200 ft,increases the overall height of the structure by 10 0 <br /> percent or more d W <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 CA <br /> - Increases the square-footage of an existing equipment compound to a total area of more than 2,500 square feet .3 <br /> Applicant Complete All Sections Below This Line y <br /> Parcel Owner Name: SBA Towers V, LLC (tower) <br /> 767 Bonnie St w O <br /> Parcel Owner Mailing Address: n z <br /> Charlotte . MI 48813 <br /> City State Zip <br /> Applicant's Name: Randy DeGood <br /> AApplicant's Business Name: SBA Networks Services c/o Verizon Wireless '� <br /> pp S Fee Rec: 500 <br /> U Ck#:0217 LY?510 <br /> Applicant's Mailing Address: 767 Bonnie St Charlotte, MI 48813 0 <br /> City State Zip 7 <br /> Applicant's Telephone Number: 561.322.5932 CD- <br /> id <br /> Applicant's Email: rdegood@sbasite.com a to <br /> ..Nw <br /> rri <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. 6 s, ra IN <br /> ❑Letter ❑Phone ®Email 0 0 cr, <br /> Page 1 of 5 3.z r'' <br /> 0 TM <br /> Burnett County,WI Tower Application—Rev 12/2021 m <br /> 0 <br /> a <br />