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MOBILE-CELLULAR-COMMUNICATION TOWER W <br /> 0 C <br /> LAND USE PERMIT APPLICATION M <br /> Burnett County, WI <br /> a <br /> ' � O <br /> Permit Fees: CrS `(A �{g T —C)7-- IZ <br /> VO <br /> New Tower $3000 ZIIJ qqg II v O <br /> Class I Collocation $3000 1 <br /> Class 2 Collocation $500 <br /> 0 <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 I Collocation-this fee includes permits for related structures on the ground. r <br /> *Class 2 Collocation-(his fee does NOT include permits for structures on the ground. A separate land use permit <br /> will be needed or structures on the ground. <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 ° <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 I 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. rnr z <br /> Class 2 Collocation means the placement of a new mobile service facility on an existing support structure,such that the o <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. <br /> d <br /> m <br /> n <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 I <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 <br /> For structures with an overall height of more than 200 ft,increases the overall height of the structure by 10 a'o <br /> percent or more <br /> N <br /> Measured at the level of the appurtenance added to the structure as a result of the modification,increases the 3. <br /> width of the support structure by 20 It or more,unless a larger area is needed for collocation m <br /> Increases the square-footage of an existing equipment compound to a total area of more than 2,500 square feet c <br /> 1 Applicant Complete All Sections_Below This Line -t I <br /> Parcel Owner Name: l,t<,y-n <br /> r <br /> Parcel Owner Mailing Address: - Z 1 <br /> City + State Zip r I I <br /> Applicants Name: SI t C1�S� �}P� / ��17�r1 U✓I YLlLI p S� f <br /> S have - --r�Y 7 -� <br /> Applicant's Business Name: _' l _1 /� r' / l �'I c Fee Redo(i(� <br /> Applicant's Mailing Address: q t ( `I S COOv'T� Cv t l.1,(L l7Ll]ckwi 0 -x[93 O m <br /> City State Zip c <br /> Applicant's Telephone Number: <br /> 1^ a ✓� <br /> Applicant's Email: \GIY� kJ P 4 nU-L,f.\( C.C <br /> If staff has a question about this application how do you prefe a co ? Check one below. <0 D <br /> ❑Letter Phone Email ` O-4 <br /> /\ %.# ba <br /> o <br /> Page 1 of 5 H <br /> Burnett County, WI Tower Application—Rev 1/2017 3 z �J <br /> �-- <br /> m <br />