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MOBILE-CELLULAR-COMMUNICATION TOWER c <br /> LAND USE PERMIT APPLICATION <br /> v <br /> N <br /> Burnett County, WI a �' <br /> Permit Fees: 'n <br /> New Tower $3000 v, <br /> Class I Collocation MQL Ur- ; <br /> Class 2 Collocation S500 <br /> 0 <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. <br /> *Class i 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. Cn <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 9 <br /> 7/1/2013). This permit application,once received by the Land Services Department,shall serve as the official notification to begin `D <br /> application review,and permit issuance time constraints referenced in the above mentioned regulations. Once the application c <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 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. -1 <br /> 3 x� <br /> Class 2 Collocation means the placement of a new mobile service facility on an existing support structure,such that the <br /> owner of the facility does not need to construct a free standing support structure for the facility or engage in substantial a <br /> modification. <br /> l7 <br /> w <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 °O <br /> 20 ft <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 p <br /> Measured at the level of the appurtenance added to the structure as a result of the modification,increases the 3 O <br /> width of the support structure by 20 ft or more,unless a larger area is needed for collocation z, <br /> Increases the square-footage of an existing equipment compound to a total area of more than 2,500 square feet <br /> t W � <br /> Applicant Complete All Sections Below This Line <br /> Parcel Owner Name: American Tower (cell tower owner) d <br /> Parcel Owner Mailing Address: 10 Presidential Way <br /> Woburn, MA 01801 <br /> City State Zip <br /> Applicant's Name: David Connell <br /> Applicant's Business Name: SMJ International o/b/o American Tower and AT&T Fee Rec: � <br /> Applicant's Mailing Address: 49030 Pontiac Trail, Suite 100 Wixom, MI 48393 Ck#: 73-717 <br /> City State Zip <br /> z <br /> Applicant's Telephone Number: 630-464-5893 <br /> z i=� <br /> conne sm Ilc.com <br /> Applicant's Email: d ll @ 1' rn 0 f� <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 'D C° C= <br /> z <br /> r 00 IV r= <br /> CD <br /> Page 1 of 5 R- <br /> Burnett County,WI Tower Application—Rev 11/2024 mco <br /> b <br />