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CA �01 <br /> MOBILE-CELLULAR-COMMUNICATION TOWER a <br /> LAND USE PERMIT APPLICATION ' <br /> Burnett County, WI a `� <br /> b <br /> Permit Fees: `� ft <br /> New Tower $3000 1 O <br /> Class 1 Collocation $3000 <br /> Class 2 Collocation $500 1 <br /> *NOTE:After-the-fact(when no permit is obtained prior to construction)is three times the normal fee. ° <br /> *New Tower and Class 1 Collocation-this fee includes permits far related structures on the ground. o <br /> *Class 2 Collocation-this fee does NOT include permits for structures on the ground. A separate land use permit Q, <br /> will he needed or structures on the ground. n <br /> 9_ <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 ° z <br /> is reviewed,the applicant will be notified if more information is needed,or an issued permit will be mailed to the applicant. Z <br /> 0 <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. <br /> z <br /> Class 2 Collocation means the placement of a new mobile service facility on an existing support structure,such that the o K <br /> owner of the facility does not need to construct a free standing support structure for the facility or engage in substantial n <br /> modification. <br /> w <br /> rn <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: y <br /> - For structures with an overall height of 200 ft or less,increases the overall height of the structure by more than °o <br /> 20 ft a <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 H <br /> - Measured at the level of the appurtenance added to the structure as a result of the modification,increases the 5. <br /> width of the support structure by 20 It or more,unless a larger area is needed for collocation w <br /> - Increases the square-footage of an existing equipment compound to a total area of more than 2,500 square feet c <br /> 1 � d <br /> W 1 <br /> Parcel Owner Name: a Mar,or��. 17e.�zfcnn (� <br /> Parcel Owner Mailing Address: a37 °I 12�. <br /> z <br /> 5ircr) WT <br /> I 11 City State Zip <br /> Applicant's Name: I rlor%a S L A Forty <br /> Applicant's Business Name: j 19(- , r,�rS Fee Ree hwoD <br /> Applicant's Mailing Address: 1501 P-, L,.o j-P,,eAA U-. So,k S06 E 3 <br /> City State Zip <br /> Applicant's Telephone Number: $'a7 - 4(ete - 35,2 1 <br /> Applicant's Email: nornq S. I e Vores.,n Saew N z D <br /> If staff has a question about this application how do you prefer to be contacted? Check one below. Z <br /> ❑Letter ❑Phone gEmail 28 ^� <br /> o <br /> C � <br /> Page 1 of 5 f111 <br /> Burnett County,WI Tower Application —Rev 3/2015 <br />