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❑ Existing and proposed driveway(s);must show dimensions and width *Driveways must have a cleared width of 20 ft and a <br /> cleared height of 13 ft <br /> ❑ North arrow <br /> ❑ Vegetation proposed to be removed or disturbed <br /> U Existing and proposed utilities and utility easements <br /> ❑ Location and extent of proposed filling/grading <br /> U Location and type of erosion-control measures <br /> O Fall radius and fall zone <br /> ❑ Distance to all nearby structures,within a distance equal to the height of the tower,as measured from the center of the tower <br /> U Any other construction related to your project <br /> • Construction plans shall be submitted with this application for all items subject to Uniform Dwelling Code(UDC) <br /> inspection. Construction plans shall show interior layout,exterior profiles,and exterior heights. <br /> • Construction plans shall be submitted with this application for all non-dwelling(Commercial/Industrial)related <br /> construction. Construction plans shall show interior layout, exterior profiles,and exterior heights. <br /> • Proposed building/structure locations must be staked prior to submitting this application to the Land Services <br /> Department. County staff will do an onsite visit to verify site conditions. If all proposed structures(including fences, <br /> out buildings,retaining walls,etc)arc not staked upon County staff visit,the permit will NOT be issued and it will be <br /> returned to the applicant. <br /> • If all existing structures on the parcel are not shown and dimensioned on the plot plan drawing,the permit will NOT be <br /> issued and it will be returned to the applicant. <br /> - If this application is to substantially modify an existing support structure,a construction plan is required which <br /> describes the proposed modifications to the support structure and the equipment and network components, including; <br /> antennas,transmitters,receivers,base stations,power supplies,cabling,and related equipment associated with the <br /> proposed modifications. <br /> - If this application is to construct a new support structure, a construction plan is required which describes the proposed <br /> support structure and the equipment and network components, including; antennas,transmitters,receivers, base <br /> stations,power supplies,cabling,and related equipment to be placed on or around the proposed structure. <br /> - If this application is to construct a new support structure,an explanation is required as to why the applicant chose the <br /> proposed location and why the applicant did not choose collocation, including a sworn statement from an individual <br /> who has responsibility over the placement of the support structure attesting that collocation within the applicant's <br /> search ring would not result in the same service functionality,coverage,and capacity; is technically infeasible;or is <br /> economically burdensome to the service provider. <br /> - A structural certification is required showing that the support structure,or existing structure is designed to collapse <br /> within a smaller area than the fall zone, if applicable. <br /> Page 3 of 5 <br /> Burnett County, WI Tower Application—Rev 1/2019 <br />