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MOBILE-CELLULAR-COMMUNICATION TOWER r <br /> LAND USE PERMIT APPLICATION y ;° <br /> Burnett County, WI <br /> a <br /> Permit Fees: Rj . <br /> � o <br /> New Tower $3000 (J� <br /> Class 1 Collocation $3000 "^ <br /> Class 2 Collocation )( $500 <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is three times the normal fee. o f, <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 permit <br /> will be needed for structures on the ground. IM <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 r <br /> application review,and permit issuance time constraints referenced in the above mentioned regulations. Once the application4 ^` <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 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. w <br /> Class 2 Collocation means the placement of anew 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. <br /> b <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: ti <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 °a <br /> - For structures with an overall height of more than 200 ft,increases the overall height of the structure by 10 w <br /> percent or moreC7 1 i <br /> - Measured at the level of the appurtenance added to the structure as a result of the modification,increases the rz <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 7b -= t <br /> // (1>i <br /> IaFti1 JttsttiT iltis W ti <br /> 1 <br /> Parcel Owner Name: L&E Erickson Family Limited Partnership <br /> Q <br /> Parcel Owner Mailing Address: 4148 Sunflower Circle � z G <br /> Vandais Heights,MN 55127 <br /> City State Zip L"1 <br /> Applicant's Name: Peter Schau,as agent for Verizon Wireless L <br /> Applicant's Business Name: Verizon Wireless Fee Rec:--Tos <br /> ers <br /> Applicant's Mailing Address: c/o:Ton 80 Realty Services,Inc.,P.O.Box 578790,Chicago,IL 60657 <br /> City State Zip <br /> Applicant's Telephone Number: (773)919-5112 C <br /> Applicant's Email: pschau@ton80realtyservices.com 3D -n Z m <br /> W <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. <br /> ❑Letter X❑Phone ❑Email 0 ea CZ= <br /> 0 N <br /> O <br /> Page 1 of 5 Z <br /> Burnett County, WI Tower Application—Rev 1/2016 <br />