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MOBILE-CELLULAR-COMMUNICATION TOWER [ <br /> LAND USE PERMIT APPLICATION v ' <br /> s' w <br /> Burnett County, WI CD I <br /> a. <br /> PT <br /> Permit Fees: :?, <br /> New Tower $3000 g <br /> Class 1 Collocation $3000co <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. <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 F r <br /> ' <br /> permit will be needed for structures on the ground. cra <br /> I. <br /> Burnett County regulates the placement of and/or modification to towers in accordance with Chapter 30,Burnett County 4' , <br /> Code of Ordinances,Chapter 66.0404 Wisconsin Stats.,and 2013 Wisconsin Act 20(which was enacted by Wisconsin on v ' <br /> 7/1/2013). This permit application,once received by the Land Services Department,shall serve as the official notification to begin i <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 /> I <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. nci) ,-3 <br /> X <br /> Class 2 Collocation means the placement of a new mobile service facility on an existing support structure,such that the c in <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. <br /> d 1" <br /> Substantial modification means the modification of a service support structure including the mounting of an antenna �% <br /> 116 <br /> on the structure that does any of the following: „ci <br /> - For structures with an overall height of 200 ft or less,increases the overall height of the structure by more than 0° Q ` <br /> 20 ft oE. 7�.t <br /> - For structures with an overall height of more than 200 ft,increases the overall height of the structure by 10 w <br /> percent or more G <br /> - Measured at the level of the appurtenance added to the structure as a result of the modification,increases the g, <br /> width of the support structure by 20 ft or more,unless a larger area is needed for collocation v) <br /> - Increases the square-footage of an existing equipment compound to a total area of more than 2,500 square feet 10 <br /> Applicant Complete All Sections Below This Line - <br /> Parcel Owner Name: <br /> DAVID L OKONEK <br /> On 03 , • <br /> Parcel Owner Mailing Address: g ROONEY LAKE ROAD 0 <br /> r) z <br /> SPOONER, WI 54801 • <br /> SMJ Int'l LLC/ John Knapek as Authorized Agent for AmericantTower Corp <br /> Applicant's Name:(tower owner) and Verizon Wireless as "Applicant' <br /> cb <br /> Applicant's Business Name:Verizon Wireless, Inc. Fee Rec: <br /> 49030 Pontiac Trail Suite 100, Wixom MI 48393 Ck#' <br /> Applicant's Mailing Address: a <br /> City State Zip '- <br /> Applicant's Telephone Number:612-986-1993 Q <br /> Applicant's Email:jknapek@smj-Ilc.com O <br /> pi <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address :3 )se 0 <br /> is legible and your email provider will accept emails from the following addresses:@BurnettCounty.org and m iii <br /> 1J <br /> @BurnettCountyWI.gov o oc o <br /> J c N <br /> J O Page 1of5 : I PS <br /> County,WI Tower Application—Rev 12/2022 l M <br /> d <br /> a =' <br />