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MOBILE-CELLULAR-COMMUNICATION TOWER a <br /> LAND USE PERMIT APPLICATION N <br /> Burnett County, WI �o <br /> Permit Fees: <br /> New Tower $3000 <br /> Class 1 Collocation $3000 <br /> Class 2 Collocation $500 <br /> G� <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. 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 /> w <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 Land Services Department,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. o <br /> Class 1 Collocation means the placement of a new mobile service facility on an existing support structure,such as the :Z <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. It <br /> Class 2 Collocation means the placement of a new mobile service facility on an existing support structure,such that the o h <br /> owner of the facility does not need to construct a free standing support structure for the facility or engage in substantial C G <br /> a <br /> modification. a .1 <br /> Substantial modification means the modification of a service support structure including the mounting of an antenna `D <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 °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 C7 <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 y3 <br /> Applicant Complete All Sections Below This Line <br /> 1 <br /> Parcel Owner Name: a cm 1 ' ld i n (; 1 <br /> w p <br /> Parcel Owner Mailing Address: �-07 01 L}UVI4� z <br /> o <br /> City State Zip N <br /> p� <br /> Applicant's Name: Alk O iA �M �►� (1 <br /> t5 au <br /> Applicant's Business Name: Fee Rec:��-- <br /> Applicant's Mailing Address: k Z Z 3 H <br /> / City State Zip a <br /> Applicant's Telephone Number: <br /> Applicant's Email: C to 66 r\ Pck- y1 cy-S • cc,rv-) <br /> QCD M <br /> cis <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. W <br /> ❑Letter Phone ❑Email r <br /> n <br /> Page 1 of5 � <br /> Burnett County,WI Tower Application—Rev 1/2019 � -- ] <br />