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MOBILE-CELLULAR-COMMUNICATION TOWER `° <br /> G y <br /> LAND USE PERMIT APPLICATION <br /> r " N <br /> Burnett County, WI a o <br /> 11-7 o C•431 <br /> Permit Fees: al <br /> ..... © <br /> New Tower $3000 %.,...s g <br /> Class 1 Collocation $3000 ' -, <br /> Class 2 Collocation $500 <br /> 1.3 <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is up to three times the normal fee. ° p O t° <br /> *New Tower and Class 1 Collocation—this fee includes permits for related structures on the ground. 0, 3 <br /> *Class 2 Collocation—this fee does NOT include permits for structures on the ground. A separate land use ° 11) <br /> permit will be needed for structures on the ground. cn <br /> 1Q <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 -o P. <br /> 7/1/2013). This permit application,once received by the Land Services Department,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 n <br /> is reviewed,the applicant will be notified if more information is needed,or an issued permit will be mailed to the applicant. p <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. j cn <br /> z <br /> Class 2 Collocation means the placement of a new mobile service facility on an existing support structure,such that the o r, <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. yi <br /> e <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: 9 <br /> - For structures with an overall height of 200 ft or less,increases the overall height of the structure by more than y a <br /> 20 ft z t <br /> - For structures with an overall height of more than 200 ft,increases the overall height of the structure by 10 ; Ili <br /> percent or more <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 9. rn <br /> - Increases the square-footage of an existing equipment compound to a total area of more than 2,500 square feet c <br /> E <br /> Applicant Complete All Sections Below This Line N -3 <br /> Parcel Owner Name: T 10 MEL TEL LLC <br /> r <br /> Parcel Owner Mailing Address: PO BOX 759322, BALTIMORE, MD 21275 <br /> c z <br /> z <br /> y <br /> City State Zip <br /> Applicant's Name: Kelly Shorts of SMJ o/b/o Verizon 46 <br /> co <br /> Applicant's Business Name: SMJ International 7.i. Fee Rec: 7 <br /> Applicant's Mailing Address: 49030 Pontiac Trail, Suite 100 Wixom MI 48393 e IDJ`J <br /> City State Zip y <br /> Applicant's Telephone Number: (248) 494-1015 0 '��� <br /> a <br /> F r- <br /> go u U <br /> Applicant's Email: kshorts@smj-llc.comc.n a <br /> m c G <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. -, < <br /> o � m <br /> a OW <br /> ELetter ['Phone ®Email n C....71 <br /> m c N <br /> x CD <br /> Page l of 5 '� ro <br /> cm <br /> MI 3 <br /> Burnett County, WI Tower Application —Rev 1/2020lid <br /> rrio <br /> a <br /> 3 <br /> b _ <br />