Form Center

Co-location

This application is only intended for "NEW" telecommunications tower permits. Co-locations do not require an Improvement Location Permit. If you are looking for an application for co-location, please contact the Building Department at (574) 235-9554, option 2.
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Property Information

Property Information
Please fill in these fields with the information of where the sign will be located. This may be different than the applicant or property owner information.
Address*
City*
State*
Zip Code*
County Parcel ID Number*
Property Owner Information
Please fill in the personal information of the property owner. This may be different than the applicant information.
Name*
Address*
City*
State*
Zip Code*
Phone Number*
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Application Information

Application Information
Please fill in the personal information of the applicant. This may be different than the property owner.
Name*
Address*
City*
State*
Zip Code*
Phone Number*
Applicant Email*
Zoning Information
Zoning Map
Please select the zoning of the property. If you are not sure of your zoning, click the link above.
Zoning Classification*
Variance or Special Use/Exception*
Has the property received a variance or special use/exception?
Approval Date*
Approval Date
Please select the date of approval for the variance or special use/exception.
Approval Letter
Please upload the approval letter of the variance(s) or special exception/use.
Encroaching in Public Right of Way
If the telecommunications tower encroaches in the public right of way, designs must be approved by Public Works PRIOR to submitting this application.
Encroaches in Public ROW*
Does the proposed sign encroach in the public right of way?
Approval Date*
Approval Date
Please select the date of approval from Public Works.
Approval Letter
Please upload you're approval letter from Public Works if the sign encroaches in a public right of way.
Historic District
If your property is located in a Historic District, designs must be approved by Historic Preservation PRIOR to submitting this application.
Historic District*
Is the property the proposed sign will be located on in a historic district?
Approval Date*
Approval Date
Please select the date of approval from Historic Preservation.
Approval Letter
Please upload you're approval letter from Historic Preservation if the property is located in a Historic District.
Floodplain or Wetland
If your property is located is located in a floodplain or wetland, designs must be approved from FEMA (floodplain) or DNR (wetland) PRIOR to submitting this application.
Floodplain or Wetland*
Is the property the proposed sign will be located on in a floodplain or wetland?
Approval Date*
Approval Date
Please select the date of approval FEMA (floodplain) or DNR (wetland).
Approval Letter
Please upload your approval letter from FEMA if the property is located in a floodplain or DNR if the property is located in a wetland.
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Project Information

Project Type*
Number of Platforms*
Front Setback (feet)*
Number of Cabinets*
Side Setback (feet)*
Number of Equipment Shelters*
Side Setback (feet)*
Tower Height (feet)*
Rear Setback (feet)*
Land Area (sq/ft)*
Land Length (feet)*
Land Width (feet)*
Distance from Residential (feet)*
Number of New Platforms*
New Land Area (sq/ft)*
New Width (feet)*
Number of New Cabinets*
New Length (feet)*
Number of New Equipment Shelters*
Current Land Area (sq/ft)*
Current Tower Height (feet)*
New Tower Height (feet)*
Height of Proposed Antenna from Ground (feet)*
Distance of New Antenna from Existing Antenna (feet)*
Length of Protrusion from Tower (feet)*
Width of Tower at Location of Antenna (feet)*
Variance Required
Variance Information
Based on your answer a variance will be required. If you have already been approved for a variance, please selected the date and upload your approval letter in the previous section. For more information on how to apply for a variance, call us at (574) 235-9571 or variance information.
Fence Height (feet)*
Black Vinyl Coated*
Security Wire*
Pointed Inward and Down*
Fence Open Space*
Fence open space affects the landscaping requirements.
Fencing Provided as Required by the Ordinance*
Variance Required
Variance Information
Based on your answer a variance will be required. If you have already been approved for a variance, please selected the date and upload your approval letter below. For more information on how to apply for a variance, call us at (574) 235-9571 or variance information.
Variance Approval Date*
Variance Approval Date
Variance Approval Letter
Landscaping Provided as Required by the Ordinance*
Variance Required
Variance Information
Based on your answer a variance will be required. If you have already been approved for a variance, please selected the date and upload your approval letter below. For more information on how to apply for a variance, call us at (574) 235-9571 or variance information.
Variance Approval Date*
Variance Approval Date
Variance Approval Letter
Drives and Walkways are Hard Surface*
Variance Required
Variance Information
Based on your answer a variance will be required. If you have already been approved for a variance, please selected the date and upload your approval letter below. For more information on how to apply for a variance, call us at (574) 235-9571 or variance information.
Variance Approval Date*
Variance Approval Date
Variance Approval Letter
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Submit Documents and Sign

Site Plan*
Please upload a site plan showing location of tower, setbacks, distance from residential uses, all existing structures, and proposed changes.
Construction Documents*
Please upload construction documents.
Electronic Signature Agreement*
By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
1. I agree.
Electronic Signature*

Leave This Blank:

1. Receive an email copy of this form.
Email address

This field is not part of the form submission.
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Search Forms:

Telecommunications Tower Permit Application

Steps

Co-location

Property Information

Application Information

Project Information

Submit Documents and Sign