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MOBILE-CELLULAR-COMMUNICATION TOWER <br /> LAND USE PERMIT APPLICATION o RI <br /> Burnett Countv, WI , <br /> Permit Fees: <br /> New Tower $3000 O <br /> Class 1 Collocation $3000 �1 <br /> Class 2 Collocation $500 <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 jee Includes permitsfor 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 or structures on the round. y <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/l2013). This permit application,once received by the Zoning Office,shall serve as the official notification to begin <br /> application review,and r- <br /> pp 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 <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. n o <br /> 3 � <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 r <br /> modification. <br /> a <br /> 0 <br /> m <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: <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 $ <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 more o <br /> Measured at the level of the appurtenance added to the structure as a result of the modification,increases the S. i <br /> width of the support structure by 20 ft or more,unless a larger area is needed for collocation v <br /> Sb <br /> Increases the square-footage of an existing equipment compound to a total area of more than 2,500 square feet 0 1 <br /> /-� <br /> Applicant Complete All Sections Below This Line -r <br /> Parcel Owner Name:+ ��G`1 <br /> Parcel Owner Mailing Address: 25-1(!)Z <br /> n z <br /> �'S3 X <br /> --� 1 City l State Zip <br /> Applicant's Name:olY�lLn4A)ki��-y 1 t/j Aykre(/U�.( 12 6 t y� �� <br /> Applicant's Business Name: %p f r lQ, - f yk = Fee Rec,3,0W#VV <br /> Applicant's Mailing Address:�� (�y� 0-a"6904d" �A)\ <br /> City State Zip cCD <br /> c, <br /> Applicant's Telephone Number. 1s o ��� Lo <br /> tt_' yi Z <br /> Applicant's Email:e: [41a -Pbe .I � a e lt'tlU _�►� L Z <br /> t' g 7 <br /> If staff has a question about this application how do you prefer tobe ntacted? Check one below. K—0 t� <br /> [:]Letter ❑Phone mail n 00 0 <br /> "' ))) Page 1 of 5 o Z V <br /> Burnett County, WI Tower Application-Rev 1/2017 3 <br /> 9 <br /> 2 <br /> 'M <br /> 'A <br />