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MOBILE-CELLULAR-COMMUNICATION TOWER a b <br /> ' LAND USE PERMIT APPLICATION �: N <br /> a CA) <br /> Burnett County, WI <br /> a , <br /> d It <br /> Permit Fees: r\ <br /> New Tower $3000 \ <br /> Class 1 Collocation S3000 & <br /> Class 2 Collocation $500 c� \ <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is up to three times the normal fee. °e <br /> *New Tower and Class I 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 ° W <br /> permit will be needed for structures on the ground. IT c--- <br /> 2 <br /> Burnett County regulates the placement of and/or modification to towers in accordance with Chapter 30,Burnett County m <br /> Code of Ordinances,Chapter 66.0404 Wisconsin Stats.,and 2013 Wisconsin Act 20(which was enacted by Wisconsin on m 1, <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 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 h <br /> t <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 ACJ <br /> in substantial modification. E X <br /> Class 2 Collocation means the placement of a new mobile service facility on an existing support structure,such that the o y v <br /> owner of the facility does not need to construct a free standing support structure for the facility or engage in substantial a �� <br /> le2modification. <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: w <br /> - For structures with an overall height of 200 ft or less,increases the overall height of the structure by more than 00 Vr\ <br /> 20ft , ` <br /> - For structures with an overall height of more than 200 ft,increases the overall height of the structure by 10 00 �/V <br /> percent or more Ci (�(� <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 2 cn <br /> - Increases the square-footage of an existing equipment compound to a total area of more than 2,500 square feet -t <br /> i <br /> Applicant Complete All Sections Below This Line 1 --t ' <br /> Parcel Owner Name: :J UA.0 4. ky 7G[,c.2.,4 a1 4 t vi netts,-r N A <br /> (") <br /> ,, <br /> Parcel Owner Mailing Address: t,2 S- - C-+Spt.,c fi2t /gG v,� <br /> . o � <br /> z <br /> L.a- �/ Ss o... .- VA <br /> State Zip k <br /> Applicant's Name: �G0/7- j7C-c tvn r s�3- k, <br /> os <br /> Applicant's Business Name: //- `- 70t,,a2S Le L,,, Fee Rec:3 b — <br /> / t Ck#: <br /> Applicant's Mailing Address: /a 5 A. /J0, l /1,_ , � .24L.6,14k'Z— .'% - <br /> 5-3 9 J , <br /> City State Zip ri <br /> Applicant's Telephone Number: Co V 6.0 - .j 3 7 3 9 r �`nil <br /> Applicant's Email: - S��TC=�/� Lf ���E� I <br /> - V V <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address Ifirfi <br /> is legible and your email provider will accept emails from the following addresses: @BurnettCounty.org and z o 0 co <br /> @BurnettCountyWl.gov -< v = c <br /> Page 1 of 5 n 3 `"' <br /> 1511 <br /> Burnett County,WI Tower Application—Rev 12/2022 0 <br /> e, J <br /> i <br />