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TOWER DETAILS <br /> Applicant's Intended Purpose of Tower <br /> (e.g.coverage,capacity,other). Explain. Capacity <br /> Type of Tower(e.g.monopole,self-support lattice,guyed lattice.etc.) Monopole <br /> Above Ground Level (AGL) Height (ft.) (i.e. maximum design <br /> 165 ' (initially 125 ' ) <br /> potential). <br /> Base/Ground Elevation(ft.) 955 . 5 <br /> What is the"fall-down radius"(ft.)of the proposed tower? 80 1 <br /> Technology to be Initially Sited on the Proposed Tower (e.g. <br /> Cellular,PCS,Radio,Television, Microwave,etc.)_4 Cellular, AWS, PCS, LTE <br /> Number & elevation (Feet AGL) of <br /> Antenna Arrays to be Accommodated 120 ' 130 ' 140 ' 150 ' <br /> I 2 3 4 5 6 <br /> j Is the primary sponsor of this tower If a wireless service Verizon Wireles <br /> a wireless service provider or a Both provider,please include <br /> tower builder? FCC license number. KNLF-240 <br /> To the best of the applicant's Yes No If applicable,please explain in the box below to the <br /> knowledge, will this tower be greatest extent known in what manner the tower will be <br /> lighted? Circle One lighted. <br /> Lighting Configuration: <br /> Are there any mitigation measures being taken to minimize the visual impact of this tower? If so, explain. Attach <br /> an additional page if necessary. <br /> N/A per WI Stats Sec 66 . 0404 (4) (g) <br /> PRELIMINARY INFORMATION ON OPTIONS FOR COLLOCATION' <br /> What search area radius was used to determine the location of the proposed tower? . 5 miles <br /> Are there any existing towers or other potentially suitable structures in excess of 80 feet in <br /> height within a 1.5 mile radius? If yes, how many structures total are there? Yes No <br /> • <br /> structures. If yes, please attach map showing the location of these structures in <br /> proximity to the proposed tower. N/A Per WI Stats 66 . 0404 (4) (p) Circle One <br /> Has the applicant examined each of the structures noted above to determine if an antenna Yes No <br /> array can or may be located on the structure? Circle One <br /> /A per WI Stats 66 . 0404 (4) (p) <br /> Note that this statement in itself does not necessarily preclude in the future the placement of alternative <br /> technologies on this structure. <br /> Note that more detailed information regarding options for collocation and addressing s. 10.194(2)of the <br /> Dane County Code of Ordinances is required in the Written Statement. <br /> H:\"Zoning\Zoning Division Documentation\Informational Materials\Communication Towers\Communication Tower Application <br /> Packet 09-2010.doc <br /> Page 7 of 10 <br /> 210 Martin Luther King jr.Blvd.':•Room 116,City-Countv Bldg.••:Madison,\\1'L1-111, 1312•:•I'IIUP.c:6(18.266.4266 Oa :6(15.26-.154(1 <br />