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MOBILE-CELLULAR-COMMUNICATION TOWER r <br /> LAND USE PERMIT APPLICATION <br /> Burnett County, WI ' <br /> a <br /> Permit Fees: V <br /> New Tower $3000 <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 / 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 /> Code of Ordinances,Chapter 66.0404 Wisconsin Stats.,and 2013 Wisconsin Act 20(which was enacted by Wisconsin on -moo <br /> 7/l/2013). This permit application,once received by the Land Services Department,shall serve as the official notification to begin t— <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. 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. En y <br /> Class 2 Collocation means the placement of a new mobile service facility on an existing support structure,such that the c <br /> owner of the facility does not need to construct a free standing support structure for the facility or engage in substantial <br /> a r• <br /> modification. e <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: <br /> - For structures with an overall height of 200 ft or less,increases the overall height of the structure by more than n " <br /> 20 ft f <br /> - For structures with an overall height of more than 200 ft,increases the overall height of the structure by 10 <br /> percent or more �- <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 .� <br /> - Increases the square-footage of an existing equipment compound to a total area of more than 2,500 square feet o 0 <br /> t <br /> Applicant Complete All Sections Below This Line -� <br /> Parcel Owner Name: American Tower (cell tower owner) <br /> Parcel Owner Mailing Address: 10 Presidential WayCDz <br /> Woburn, MA 01801 y ° <br /> CityState Zip <br /> Applicant's Name: David Connell <br /> Applicant's Business Name: SMJ International o/b/o American Tower and AT&T z Fee Rc�15-60 <br /> Ck#: -7 7 <br /> Applicant's Mailing Address: 49030 Pontiac Trail, Suite 100 Wixom, MI 48393 <br /> City State Zip <br /> z <br /> 5893464- ° <br /> Applicant's Telephone Number: 630- <br /> < r <br /> Applicant's Email: dconnell@smj-Ilc.com <br /> CL <br /> Cn <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 address: @BurnettCountyWI.gov o m CD <br /> o' n <br /> CD c <br /> Page 1 of 5 <br /> Burnett County,WI Tower Application —Rev 11/2024 <br /> < CD <br /> cr <br /> o a <br /> 2 <br />