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1 MOBILE-CELLULAR-COMMUNICATION TOWER <br /> LAND USE PERMIT APPLICATION <br /> to `" I <br /> ° 11 = L..)Burnett County, WI a <br /> 0 <br /> rD <br /> Permit Fees: <br /> � o <br /> New Tower $3000 <br /> Class 1 Collocation $3000 \ P <br /> Class 2 Collocation $500 <br /> A <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. r. <br /> *Class 2 Collocation—this fee does NOT include permits for structures on the ground. A separate land use 2 41... <br /> permit will be needed for structures on the ground <br /> i <br /> Burnett County regulates the placement of and/or modification to towers in accordance with Chapter 30,Burnett County a (\ <br /> Code of Ordinances,Chapter 66.0404 Wisconsin Stats.,and 2013 Wisconsin Act 20(which was enacted by Wisconsin on -o <br /> 7/1/2013). This permit application,once received by the Land Services Department,shall serve as the official notification to begin r <br /> ! Z3 <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 /> Class I 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, Y <br /> K k <br /> Class 2 Collocation means the placement of a new mobile service facility on an existing support structure,such that the c N O <br /> owner of the facility does not need to construct a free standing support structure for the facility or engage in substantial ro <br /> modification. <br /> t7 <br /> d <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: ti <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 0 <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 P. 1 <br /> - Measured at the level of the appurtenance added to the structure as a result of the modification,increases the O <br /> width of the support structure by 20 ft or more,unless a larger area is needed for collocation cn <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 N 1:1 .-1 <br /> H <br /> Parcel Owner Name:Carl and Susan Radke <br /> C <br /> Parcel Owner Mailing Address: 7377 Industrial Avenue Webster WI 54893 C, <br /> n z <br /> N X <br /> Applicant's Name: <br /> City State Zip <br /> Brian Zanzig (Verizon Auth Agent) <br /> SBA Communications p <br /> Applicant's Business Name: Fee Rec: ) <br /> 311 E Morningsun Dr., Appleton, WI. 54913 ck#' .119-2l3 <br /> Applicant's Mailing Address: g pp m <br /> City State Zip i <br /> 414-708-8849 LA <br /> t, <br /> Applicant's Telephone Number: m <br /> Applicant's Email: Bzanzig@sbasite.com F `LA <br /> l J <br /> LA r- <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address a J i U <br /> is legible and your email provider will accept emails from the following addresses: @BurnettCounty.org and o co W <br /> @BurnettCountyWl.gov r- a <br /> End <br /> Page 1 of 5 n oo '� o <br /> Burnett County,WI Tower Application-Rev 12/2022 m w = <br /> wo'u lin:.j:s 7 itFlil [( <br />