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MOBILE -CELLULAR -COMMUNICATION TOWER <br />LAND USE PERMIT APPLICATION <br />Burnett County, WI <br />Permit Fees: <br />New Tower $3000 <br />Class 1 Collocation $3000 r <br />Class 2 Collocation $500 Waived Fes- Voc l <br />*NOTE: After -the -fact (when no permit is obtained prior to construction) is up to three times the norm, fee. <br />*New Tower and Class 1 Collocation — this fee includes permits for related structures on the ground. <br />*Class 2 Collocation — this fee does NOT include permits for structures on the ground. A separate land use <br />permit will be needed for 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/l/2013). This permit application, once received by the Land Services Department, shall serve as the official notification to 1 <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. <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 />Class 2 Collocation means the placement of a new mobile service facility on an existing support structure, such that the <br />owner of the facility does not need to construct a free standing support structure for the facility or engage in substantial <br />modification. <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 <br />20 ft <br />- For structures with an overall height of more than 200 ft, increases the overall height of the structure by 10 <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 <br />- Increases the square- footage of an existing equipment compound to a total area of more than 2,500 square feet <br />Applicant Complete All Sections Below This Line <br />Parcel Owner Name: Joint Water Quality Commission of Danbury & St Croix Chippewa Indians of WI <br />Parcel Owner Mailing Address: 7018 Lake 26 RD, PO Box 127 <br />Applicant's Name: <br />Danburv, Wiscon <br />City <br />Burnett County Sheriffs Office, 911 Communications <br />State Zip <br />Applicant's Business Name: Burnett County Sheriffs Office 911 Communications <br />Applicant's Mailing Address: 7410 County Road K, #122, Siren, Wisconsin 54872 <br />City State Zip <br />Applicant's Telephone Number: <br />715-349-2121 <br />Applicant's Email: ssacharski@burnettcounty.org <br />If staff has a question about this application how do you prefer to be contacted? Check one below. <br />❑Letter ®Phone ®Email <br />Pagel of 5 <br />Burnett County, WI Tower Application — Rev 1/2019 <br />ti v� <br />z <br />x <br />Fee R c:NI& <br />W <br />C <br />a <br />Z <br />ci <br />ar <br />N <br />