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Project ID: 14114357 <br /> MOBILE-CELLULAR-COMMUNICATION TOWER a <br /> LAND USE PERMIT APPLICATION E: N <br /> Burnett County, WI a ' <br /> o <br /> Permit Fees: <br /> New Tower $3000 p i <br /> Class 1 Collocation $3000 <br /> Class 2 Collocation $500 <br /> n <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is up to three times the normal fee. ° <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 2 <br /> 111 <br /> permit will be needed for structures on the ground. lb <br /> w k <br /> o --- <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 r ag r <br /> application review,and permit issuance time constraints referenced in the above mentioned regulations. Once the application o <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 /> f <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. ccn <br /> Class 2 Collocation means the placement of a new mobile service facility on an existing support structure,such that the o N <br /> owner of the facility does not need to construct a free standing support structure for the facility or engage in substantial n <br /> modification. o <br /> Substantial modification means the modification of a service support structure including the mounting of an antenna F. <br /> on the structure that does any of the following: -o <br /> - For structures with an overall height of 200 ft or less,increases the overall height of the structure by more than N °0 <br /> 20 ft o p <br /> - For structures with an overall height of more than 200 ft,increases the overall height of the structure by 10 a5 <br /> percent or more p •, <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 o <br /> Applicant Complete All Sections Below This Line -i <br /> Parcel Owner Name: GARCIA MICHAEL J r W <br /> w <br /> Parcel Owner Mailing Address: 591 Covered Bridge DR Z <br /> Delaware OH 43015-3251 y x <br /> City State Zip <br /> Applicant's Name: Eron Haxhimehmeti Fullerton Engineering OBO T Mobile <br /> Applicant's Business Name: Fullerton Engineering s Fee Rec: 5�?-3 <br /> 1100 E. Woodfield Road, Suite 500 Schaumburg IL 60173 o Ck#: �� <br /> Applicant's Mailing Address: m <br /> City State Zip a <br /> z <br /> Applicant's Telephone Number: 217- 636-4468 0 <br /> z <br /> Applicant's Email: Ehaxhimehmeti@fullertonengineering.com Pi g Ii^ <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. 41 5 W <br /> ❑Letter ®Phone ['Email CD <br /> o n <br /> N fill <br /> <, 0 <br /> C (ems <br /> Page 1 of 5 w Y <br /> Burnett County, WI Tower Application —Rev 12/2021 m ``"' <br /> a <br /> L� J� <br /> b <br />