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U ell <br /> MOBILE-CELLULAR-COMMUNICATION TOWER a 1 <br /> LAND USE PERMIT APPLICATION N <br /> Burnett County, WI a <br /> d <br /> Permit Fees: t, <br /> New Tower $3000 Xi <br /> Class 1 Collocation $3000 <br /> Class 2 Collocation I$500 hf <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is three times the normal fee. ° <br /> I � <br /> *New Tower and Class I Collocation-this fee includes permits for related structures on the ground. <br /> *Class 2 Collocation-this fee does NOT include permits for structures on the ground A separate land use permit <br /> will be needed or 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 <br /> 7/1/2013). 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. c �` <br /> Class l 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. <br /> Class 2 Collocation means the placement of a new mobile service facility on an existing support structure,such that the o y <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. a j <br /> m <br /> Substantial modification means the modification of a service support structure including the mounting of an antenna 1 <br /> on the structure that does any of the following: <br /> �o <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 <br /> - For structures with an overall height of more than 200 ft,increases the overall height of the structure by 10 m <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 S. <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 /> 1 SU <br /> A : `, ` . H o <br /> Parcel Owner Name: Hopkins Sand&Gravel,Inc. <br /> Parcel Owner Mailing Address:_ 27760 State Road 35 <br /> Webster WI 54893 <br /> City State Zip <br /> Applicant's Name: Peter Schau,as agent for Verizon Wireless <br /> Applicant's Business Name: Verizon Wireless Fee Rec:-SW Cu <br /> Applicant's Mailing Address: c/o:Ton 80 Realty Services,Inc.,P.O.Box 578790,Chicago,IL 60657 <br /> City State Zip m <br /> Applicant's Telephone Number: (773)919-5112 C <br /> TiFd <br /> Applicant's Email: pschau@ton8orealtyservices.com ? r 1 l <br /> rq rd <br /> If staffhas a question about this application how do you prefer to be contacted? Check one below. Cp _ <br /> OLetter ©Phone QEmail <br /> 'lCD <br /> Page 1 of 5 <br /> Burnett County,WI Tower Application—Rev 1/2016 �—� <br />