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MOBILE-CELLULAR-COMMUNICATION TOWER a 2 <br /> LAND USE PERMIT APPLICATION N . <br /> Burnett County, WI = col. 1 <br /> c w <br /> p <br /> d sLrl <br /> Permit Fees: ?t <br /> New Tower $3000 "4 i <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. o <br /> *New Tower and Class 1 Collocation—this fee includes permits for related structures on the ground. r. <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. <br /> Burnett County regulates the placement of and/or modification to towers in accordance with Chapter 30,Burnett County <br /> A.'. <br /> Code of Ordinances,Chapter 66.0404 Wisconsin Stats.,and 2013 Wisconsin Act 20(which was enacted by Wisconsin on J1 , <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 ,c-I " <br /> is reviewed,the applicant will be notified if more information is needed,or an issued permit will be mailed to the applicant. c <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 /> 4 k <br /> Class 2 Collocation means the placement of a new mobile service facility on an existing support structure,such that the c y <br /> 7. <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 C= <br /> on the structure that does any of the following: v 6-' <br /> - For structures with an overall height of 200 ft or less,increases the overall height of the structure by more than N 0tQ <br /> 20 ft a <br /> - For structures with an overall height of more than 200 ft,increases the overall height of the structure by 10 <br /> ao <br /> percent or more O <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 = z„ <br /> - Increases the square-footage of an existing equipment compound to a total area of more than 2,500 square feet <br /> o <br /> Parcel Owner Name: <br /> Applicant Complete All Sections Below This Line .� <br /> L&E Erickson Family Limited Partenership <br /> CI\ <br /> Parcel Owner Mailing Address: 4148 Sunflower Circle <br /> n z <br /> Vadnais Heights, MN. 55127 x <br /> City State Zip <br /> Applicant's Name: Verizon Authorized Agent-Brian Zanzig <br /> SBA Communications Fee Rec: <br /> Applicant's Business Name: .J�-��to <br /> Applicant's Mailing Address:4500 E. Pollywog Way, #145 Appleton, WI. 54915 c�;» Ck#: �17���8 <br /> rrl <br /> City State Zip a <br /> Applicant's Telephone Number:414-708 8849 d <br /> U <br /> Applicant's Email:Bzanzig@sbasite.com m r- <br /> ilfli <br /> Bzanzig@sbasite.com 0 <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address <br /> is legible and your email provider will accept emails from the following addresses: @BurnettCounty.org and o m CD <br /> ►v [rill <br /> @BurnettCountyWl.gov r" m c c, <br /> Pagelof5z. v CC <br /> Burnett County,WI Tower Application—Rev 12/2022 W CAIIra <br /> m <br /> -; (� ) <br />