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1 <br /> MOBILE-CELLULAR-COMMUNICATION TOWER a �§ <br /> LAND USE PERMIT APPLICATION � .c <br /> Burnett County, WI co <br /> a 153 <br /> Permit Fees: V \ `=New Tower S3000 3 <br /> Class 1 Collocation $3000 <br /> Class 2 Collocation $500 <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is up to three times the normal fee. °< <br /> *New Tower and Class 1 Collocation—this fee includes permits for related structures on the ground. r <br /> *Class 2 Collocation—this fee does NOT include permits for structures on the ground. A separate land use a <br /> permit will be needed for structures on the ground. c, <br /> Burnett County regulates the placement of and/or modification to towers in accordance with Chapter 30,Burnett County ,$ <br /> Z <br /> Code of Ordinances,Chapter 66.0404 Wisconsin Stats.,and 2013 Wisconsin Act 20(which was enacted by Wisconsin on - M <br /> 7/1/2013). This permit application,once received by the Land Services Department,shall serve as the official notification to begin g (---, <br /> application review,and permit issuance time constraints referenced in the above mentioned regulations. Once the application E <br /> is reviewed,the applicant will be notified if more information is needed,or an issued permit will be mailed to the applicant. o S <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. ci)r) 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 t' <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. <br /> C7 <br /> w <br /> Substantial modification means the modification of a service support structure including the mounting of an antenna 2, <br /> on the structure that does any of the following: d V'% <br /> - For structures with an overall height of 200 ft or less,increases the overall height of the structure by more than N 00 J'� <br /> 20ft 0 _ \ <br /> For structures with an overall height of more than 200 ft,increases the overall height of the structure by 10CIO <br /> percent or more r? Ntetik <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 cn <br /> - Increases the square-footage of an existing equipment compound to a total area of more than 2,500 square feet o <br /> g <br /> Applicant Complete All Sections Below This Line H <br /> Parcel Owner Name: Jack O. Nelson <br /> ' -0 <br /> r <br /> w <br /> Parcel Owner Mailing Address: 1600 COUNTY RD G m z <br /> SPOONER,WI 54801 <br /> City State Zip <br /> Applicant's Name: Hugh Bealka <br /> a <br /> Applicant's Business Name: TowerNorth and Verizon Wireless c/o Terra Consulting Group x Fee Rec:3,(X-r). —Ck#:e2 e7i k <br /> Applicant's Mailing Address: 1970 Oakcrest Ave, Suite 103, Roseville, MN 55113 0 <br /> City State Zip <br /> z <br /> v <br /> Applicant's Telephone Number: 651-442-3840 m <br /> Applicant's Email: hbealka@terraltd.com Q Dili <br /> **If staff has a question about this application,you will be contacted via email. Make sure your email address m <br /> is legible and your email provider will accept emails from the following addresses: @BurnettCounty.org and c CD <br /> ffl@BurnettCountyWI.gov w n <br /> Page 1 of 5 m 0 <br /> Burnett County, WI Tower Application—Rev 12/2022 g <br /> iffit <br /> L----------J <br />