NORTHLAND RANCH SUB LT 5 - ZCP 5/8/2024Kodiak Island Borough
Community Development Department
710 Mill Bay Road Room 202
Kodiak, Alaska 99615
Phone (907) 486-9363 Fax (907) 486-9396
bcurrie@kodiakak.us
Zoning Compliance Permit Permit No.� (> �- 050
The following information is to be supplied by the Applicant
Property Owner/Applicant:
Mailing Address: b(5/ 81�3 (too IV}t(__
Phone Number: 00-7-) 5 1 Z —�? 177
Other Contact Email, etc..:
Legal Description: Subdv:
yhlo��ts:i'+ Block:
Street Address: 52-1 (Act 4ct5li SSl-talc (Z-V , IC0%0 A tC
Use & Size of Existing Structures: U
Lot:
Description of Proposed Action: yOCt�4 2, c'� � Ve C D
W,& a P& AA06A c V- t Lr A 1�� -f t`d /J C9S V- (7'
Applicant Certification: I hereby certify that I 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 placefor verification ofbuilding setback (yard) requirements.
Title: o t1 Q _ Print Name:
Date: Signature:GJ
Site Plan to include lot boundaries and existing easements and buildings, proposed location ofnew construction,
access points, and vehicular parking area, As -Built required with all improvements changes.
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, operation, contact this office immediately to determine if further review and
approval of the revised project is necessaty.
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING
PERMIT IS REQUIRED.
Staff Compliance Review
Does the Project involve EP Proof of EPA notification provided (if required)?
Defined Facility? 'Comm al Buildings, 'Required for all demos, renovations disturbing at least UO sq
Installations, institutions, d residences feet, 260 lineafeel, or 35 cubic ft of Regulated Asbestos Containing
With more than fo 4) dwelling unites* Material (RACM) and for renovation that remove load supporting structure'
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.
Current Zoning: 60
Lot Area: 5,Rr r g Lot Width: 9-GO'
Front Yard: 'j t, Side Yazd:Oax
Parking Plan: C,)t-A, Parking Spaces: 3
Staff Notes:
Staff Certification
Date: t�/4 CDD Staff
Payment Verification
Prop. ID: i Fill;j
Building Height: �� • . Ol O
Rear Yazd: `d � , 1
As -Built: %IA;t J
After the Fact 2X the published amount
c°aSJ
Waived:
$0.00
❑❑
$0
❑
Less than 1.75 Acres:
$30.00
$60.
60.00
❑
g YO
1.76 to 5.00 Acres:
$60.00
❑
$120.00
❑
5.01 to 40.00 Acres:
$90.00
$180.00
❑
MAY 8 2024 l its!
40.01 Acres or more:
$120.00 ❑
$240.00
❑
Kodiak Island Borough
Finance Department
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PAYMENT DATE
05/08/2024
COLLECTION STATION
CASHIER
RECEIVED FROM
TONY PIRAK
DESCRIPTION
32169 PASAGSHAK RD
LL
Kodiak Island Borough
710 Mill Bay Rd.
Kodialy AK99615
Payments: Type Detail Amount
Cash $90.00
Total Amount:
Customer Copy
BATCH NO.
2024-00000321
RECEIPT NO.
2024-00001090
CASHIER
Teresa Medina
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Printed by: Teresa Medina Page 1 of 1 05/08/2024 02:32:01 PM