Fallout 76 lookout towers are a typical feature that allow you to unlock spaces around the vast open-world map. It's a mechanic you see in other types of open-world games like Assassin's Creed.
Here is a list of all thirteen towers.
Fallout 76 Lookout Towers - How to Find All 13 Towers
The actual gameplay is the same for every tower. Climb to the top, walk out on the balcony and press the activate button. Then you'll be able to unlock locations around the tower on your map. Some will have quests or enemies to fight.
Forest Region:
North Kanawha
Flatwoods
East Kanawha
Camp Adams
Toxic Valley Region:
Pioneer Scout
Savage Divide Region:
North Mountain
Central Mountain
Whitespring Lookout
East Mountain
South Mountain
The Mire Region:
East Ridge Lookout
Dolly Sods Lookout
Cranberry Bog Region:
Ranger Lookout
Have fun traversing the map!
Photo courtesy of Bethesda