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2020 <br /> SITE PLAN APPLICATION <br /> COMMUNITY DEVELOPMENT, CITY OF WINONA, MINNESOTA 55987 <br /> P.O. BOX 378 5071457-8250 FAX: 5071457-8212 <br /> SITE ADDRESS: <br /> Property Owner: Contractor: <br /> Company/Individual Company/Individual <br /> Contact Person Contact Person <br /> Mailing Address Mailing Address <br /> City/State2ip City/State/Zip <br /> E-mail E-mail <br /> Office Phone Office Phone <br /> Mobile Phone Mobile Phone <br /> Permit Applicant: Engineer/Architect: <br /> Company/Individual Company/Individual <br /> Contact Person Contact Person <br /> Mailing Address Mailing Address <br /> City/State/Zip City/State2ip <br /> E-mail E-mail <br /> Office Phone Office Phone <br /> Mobile Phone Mobile Phone <br /> NOTE: The Contractor and Applicant assume all responsibility for compliance with approved site plan. <br /> NOTE: A project involving the disturbance of over one acre of land is subject to an NPDES permit and <br /> stormwater management plan. <br /> NOTE: A site plan for a project adjacent to Mn/DOT right-of-way is subject to state review with a <br /> minimum review period of 30 days. <br /> NOTE: Projects involving multiple parcels will be required to combine properties as appropriate. <br /> NOTE: Any project which will generate 200+ semi-truck trips per day is required to complete a <br /> Transportation Impact Analysis prior to submitting this application. An analysis is also required if <br /> semis from the proposed use will increase the amount of traffic on any non-truck route by more <br /> than 20%. If potentially applicable, contact staff to set up apre-application meeting. <br /> Site plans will not be accepted without the following information: <br /> - Seven hard copies of the site plan at a scale of 1" = 20'showing the required information on the <br /> next page. <br /> - One electronic copy of the site plan. (e.g. Adobe .pdf) <br /> - Type of Development: <br /> - Payment of the $215.00 fee. <br /> Signature of Applicant Signature of Land Owner <br /> (If different from applicant) <br /> For Staff Use Only EG-INV- <br /> Date Received: Site Plan # Receipt# <br /> Parcel #: Zoning Property Size <br /> LEGAL DESCRIPTION OF PROPERTY: <br /> (See Site Plan application requirements on next page) <br />