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MOBILE-CELLULAR-COMMUNICATION TOWER b <br /> LAND USE PERMIT APPLICATION y: <br /> Burnett County. WI 2. <br /> o 9� <br /> Permit Fees: � {� <br /> New Tower $3000 <br /> Class 1 Collocation $3000 1 <br /> Class 2 Collocation $500 <br /> n <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 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 r <br /> application review,and permit issuance time constraints referenced in the above mentioned regulations. Once the application 2 <br /> is reviewed,the applicant will be notified if more information is needed,or an issued permit will be mailed to the applicant. <br /> 0 <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. z <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 o <br /> modification. <br /> b <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: I <br /> - For structures with an overall height of 200 ft or less,increases the overall height of the structure by more than c <br /> 20 ft �. <br /> - For structures with an overall height of more than 200 ft,increases the overall height of the structure by 10 w° 1 <br /> percent or more <br /> - Measured at the level of the appurtenance added to the structure as a result of the modification,increases the M <br /> width of the support structure by 20 ft or more,unless a larger area is needed for collocation n <br /> - Increases the square-footage of an existing equipment compound to a total area of more than 2,500 square feet o <br /> F <br /> C\1 0 <br /> Applicant Complete All Sections Below This Line V ) <br /> Parcel Owner Name: Niles K& Marjorie Peterson r <br /> Parcel Owner Mailing Address: 23789 Peterson Road aka 8364 Waldora Rd Smrpn, Wl 54872p. <br /> z <br /> Nr <br /> City State Zip <br /> Applicant's Name: Kithlaan t;rnark <br /> Applicant's Business Name: Insite RE Inc. as agent for Verizon Wireless Fee Rec: ;m 0 <br /> Applicant's Mailing Address: 1s660 Midwest Road, Ste 140 Oakbrook Terrace, IL 60181 g <br /> City State Zip o <br /> Applicant's Telephone Number: (224) 531-1370 n <br /> Applicant's Email: groark(d)insite-ine.com 2 z <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. <br /> ❑Letter ❑Phone ®Email <br /> t� <br /> Page 1 of 5 o C o <br /> Burnett County,WI Tower Application—Rev 1/2017 <br /> m <br />