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I D 12 9'2uL� A5V" <br /> u14aQs AT'L <br /> MOBILE-CELLULAR-COMMUNICATION TOWER r <br /> LAND USE PERMIT APPLICATION y: <br /> Burnett County,WI (S <br /> Permit Fees: <br /> New Tower $3000 N i� <br /> Class 1 Collocation 53000 <br /> Class 2 Collocation $500 <br /> 'NOTE:After-the-fact(when no permit is obtained prior to construction)is three limes the normal fee. <br /> 'New Tower and Class I Collocation-this fee includes permits for related structures on the ground o <br /> 'Class 2 Collocation-rhisfee does NOT include pernitsfor structures on the ground A separate land use permit <br /> will be needed or structures on the ground. 5 <br /> Burnett County regulates the placement of andior modification to towers in accordance with Chapter 30,Burnett County <br /> Code of Ordinances,Chapter 66.0404 Wisconsin Stats.,and 2013 Wisconsin Act 20(which was enacted by Wisconsin on n p <br /> 7/(!2013). This permit application,once received by the Zoning Office,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 <br /> is reviewed,the applicant will be notified if more information is needed,or an issued permit will be mailed to the applicant. j ? <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 n I <br /> in substantial modification. <br /> 7_ <br /> Class 2 Collocation means the placement of a new mobile service facility on an existing support structure,such that the o <br /> owner of the facility does not need to construct a free standing support structure for the facility or engage in substantial c <br /> modification. p O <br /> Substantial modification means the modification of a service support structure including the mounting of an antenna <br /> � r <br /> on the structure that does any of the following: <br /> - For structures with an overall height of 200 R or less,increases the overall height of the structure by more than c / <br /> 20 ft <br /> - Forstructures with an overall height of more than 200 ft,increases the overall height of the structureby 10 w <br /> percent or more t7 <br /> - Measured at the level of the appurtenance added to the structure as a result of the modification,increases the <br /> width of the support structure by 20 ft or more,unless a larger area is needed for collocation m <br /> - Increases the square-footage of an existing equipment compound to a total area of more than 2,500 square feet <br /> A4 ;Line <br /> Parcel Owner Name: 7Ayt_Dj-KA+:RLer.�0 oroNCL-I ATL SEQVdIY} LL.L _ <br /> VE$S I.CLSnGW-- <br /> Parcel Owner Mailing Address: 2Q 6 ra-3 LOIkQ12al z J <br /> j City State Zip <br /> Applicant's Name: U LST/ �EIN7 t Ubl y� <br /> Applicant's Business Name: Fee RecJ(..(,/t(1) <br /> .. SU LM S <br /> Applicant's Mailing Address: 14tV t� �L L (S( dUMA W Cs'fDN wl NO <br /> City State Zip C <br /> Applicant's Telephone Number: M �_ <br /> D <br /> l7[xvn�roSfi � FAN VPltxi z <br /> Applicant's Email: �� (,al/H <br /> l.9 <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. 0 to tl tit Y <br /> N <br /> Eli,etter Mone L&mail Z - <br /> Page 1 of 5 z <br /> Burnett County,WI Tower Application—Rev 312015 <br />