USS 1396 TR A & AIRPARK BK 4 LT 15 - ZCP 12/13/2021.. Kodiak Island Borough Community Development Department (' 710 Mill Bay Rd. Rm 205 Kodiak AK 99615 do Ph. (907) 486 - 9363 Fax (907) 486 - 9396 http://www.kodiakak.us Zoning Compliance Permit Permit No. Cz-vg I, The following information is to be supplied by the Applicant: Property owner / Applicant: F&M Properties LLC (owner) / Kodiak Harvest Food Cooperative (leasee) Mailing Address: P.O. BOX 8110, Kodiak AK 99615 (leasee) Phone Number: 562-212-5939 Other Contact email, etc.: Tifani Perez (Project Director) - tperez@kodiakharvest.org Mill Bay Road Commercial , 13y& Legal Description: Subdv: y Block: Lot: (tj Street Address: 1420 Selig Street, Unit 100 Use & Size of Existing Structures: Commercial retail building that leases units to several businesses. Unit 100 will be occupied by Kodiak Hat vest Food Coupei Lifive. Description of Proposed Action: Operate the Kodiak Harvest food hub & grocery market out of Unit 100 Site Plan to include: Lot boundaries and existing easements, existing buildings, proposed location of new construction, access points, and vehicular parking areas. Staff Compliance Review: 8404 acres Lot Area Front Yard: / Prk'g Plan Rvw? Staff Compliance Review Notes: Plat/Subdivision Requirements: Current Zoning: BUS PROP —ID Lot Width: /Ij1 Bld'g Height Rear Yard: y/ Side Yard # of Req'd Spaces: 50 055 l 3ft 'TO, A &u "` cI" . 15892 Subd Case No. Plat No. Bldg Permit No. Does the project involve an EPA defined facility? *Commercial buildings, installations (military bases), institutions (schools, hospitals) and residences with more than four (4) dwelling units. Driveway Permit? Septic Plan Approval: Fire Marshall: Proof of EPA notification provided (if required)? *Required for all demolitions, for renovations disturbing at least160 square feet, 260 linear feet or 35 cubic feet of Regulated Asbestos Containing Material (RACM), and for renovations that remove a load -supporting structural member. No permit will be issued for such projects without proof of EPA notification Applicant Certification: I hereby certify that 1 will comply with the provisions of the Kodiak Island Borough Code and that I have the authority to certify this as the property owner, or as a representative of the property owner. I agree to have identifiable corner markers in place for verification of building setback (yard) requirements. Attachments? List Other: Date: Signature:�r, This permit is only for the proposed project as described by the applicant. If there are any changes to the proposed project, including its intended use, prior to or during its siting, construction, or operation, contact this office immediately to determine if further review and approval of the revised project is necessary. THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED. ** EXPIRATION: Any zoning compliance permit issued is subject to the same expiration, suspension, and revocation provisions as a building permit issued for the same construction permit. ** CDD Staff Certification Date: ZI o� ic2a CDD Staff: Payment Verification Zoning Compliance Permit FeeTla�� Not Applicable ❑ $0.00 8 4•,l,�j'6 a Less than 1.75 acres: 1.76 to 5.00 acres: ❑ $60.00 Room # 104 - Main floor of Borough Building After -the -Fact 2X the published amount ❑ $0.00 ❑ $60.00 ❑ $120.00 5.01 to 40.00 acres: ❑ $90.00 ❑ $180.00 40.01 acres or more: ❑ $120.00 0 $240.00 • My Account • Logout Susan Zimmerman [szimmerman] • Dashboard • User Management • Payment Management • Online Reporting • IVR Call Metrics Online Reports Transaction Details General Information Transaction ID: 283222052 Tender Type: Credit Card Transaction Type: Authorization and Capture Remittance ID: Kodiak I20921141548215Cur Client Account Number: N/A Tax Amount: $0.00 Total Amount: $15.00 Transaction Date: December 09, 2021 10:19:23 AM AKST Parent Transaction: N/A Status: Success Fail Message: N/A Received Via: Virtual Terminal AVS Response: Z Approval Code: 07929G Transaction Posted by: bcurrie Credit Card Information Company: N/A Name on Card: Tifani Perez Address Line 1: P.O Box 9110 City: KODIAK State: AK ZIP Code: 99615 Country: United States Card Type: Visa Partial Card Number: 40 - 0227 Expiration Date: 3/2026 Order Number: 283222052 Custom Information Payment Application: Kodiak Island Borough Community Development Name: Tifani Perez Phone Number: 907-512-6263 Building Permit #: CZ2022-026 Physical Address of Permit: 1420 Selig St Suit 100 Credit or void this transaction Velocity Payment System Version 2020-2 - Copyright © 2021 Govolution, LLC.