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MOBILE-CELLULAR-COMMUNICATION TOWER s <br /> LAND USE PERMIT APPLICATION ,,. y <br /> o co N <br /> Burnett County, WI a. <br /> a <br /> Permit Fees:$500 <br /> New Tower $3000 I am applying for a Class 2 Collocation ;\ <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. P ' <br /> *New Tower and Class 1 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 <br /> permit will be needed for structures on the ground. E, <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 <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 <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 /> cn <br /> Class 2 Collocation means the placement of a new mobile service facility on an existing support structure,such that the o y <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. a % <br /> K <br /> Substantial modification means the modification of a service support structure including the mounting of an antenna co <br /> on the structure that does any of the following: <br /> ro <br /> - For structures with an overall height of 200 ft or less,increases the overall height of the structure by more than N 00 <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 C (�f <br /> - Measured at the level of the appurtenance added to the structure as a result of the modification,increases the R. }v' <br /> width of the support structure by 20 ft or more,unless a larger area is needed for collocation P. En <br /> - Increases the square-footage of an existing equipment compound to a total area of more than 2,500 square feet .- NJ <br /> Applicant Complete All Sections Below This Line n, - <br /> Parcel owner Name: Niles and Majorie Peterson - Fairview Dairy Farm INC W <br /> Parcel Owner Mailing address:23789 Peterson Rd. Siren, WI 54872 E -cp, <br /> 1 <br /> City State Zip <br /> Applicant's Name: Mehmet BeglCl NI <br /> Fullerton Engineering r�/M.3� <br /> Applicant's Business Name: g Fee Rec. <br /> ��L,IJ— <br /> 1100 E. Woodfield Road, Suite 500, Schaumburg ,IL 60173 e Ck#: 5 C3S <br /> Applicant's Mailing Address: 6 <br /> rzi <br /> City State Zip E <br /> Applicant's Telephone Number:MO: +1 (217) 427 8413tri <br /> '@ <br /> mbeciiri@fullertonengineering.com Email: Ilifil <br /> P g <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. 11 Cam,. <br /> ['Letter EPhone ['Email a1151 <br /> Page 1 of 5 F, 3'2' <br /> e <br /> Burnett County,WI Tower Application-Rev 12/2021 ^' <br /> LL aV <br />