ELDERBERRY HGTS 3RD BK 5 LT 12 - ZCP 5/16/2024Zoning Compliance Permit
Kodiak Island Borough
Community Development Departm
710 Mill Bay Road Room 202
Kodiak, Alaska 99615
Phone (907) 486-9363 Fax (907) 486-9396
bcurrie@kodiakak.us
Permit No. C-1-0110eta - 9
The following information is to be supplied by the Applicant
Property Owner/Applicant: RO 'J F, 8 T q/ lT l-s
Mailing Address:
Phone Number:
crer- Ll?
Other Contact Email, etc..: R 1* it GS F? I 1 y & G P-, `r / t- • G e
Legal Description: Subdv: f N pX rU -k 6fT�> 3&4 Block: _ Lot:
Street Address: I6/Z SeLlfr-
Use & Size of Existing Structures: f'760 S 4 r T geS / D P17 % 16 L
Description of Proposed Action: A n ,D IT i o n OF Pt,
u0/i ®F
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 of building setback (yard) requirements.
Title: 0 ,,,,'h el'
Print Name: K L) 8 F8 % HI & 6 f
Date: s / t 2 Signature:
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 necessary.
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING
PERMIT IS REQUIRED.
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Does the Project invol A
Defined Facilit. 9 ommerical Buildings.
Installations, i utions, and residences
Wilh m than four (4) dwelling unites*
Staff Compliance Review
Proof of EPA no
`Required for all demos,
feet, 260 lineafeet, or 35
Material (RACM) and for renoy
atio rovided (if required)?
tions disturbing at least UO sq
ft of Regulated Asbestos Containing
that remove load supporting structure'
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.
Current Zoning:
Lot Area:
Front Yard: rj
Parking Plan:
Staff Notes:
Date: 5
Payment Verification
FOR
Lot Width: `
Side Yard: t
Parking Spaces: Cc�
CDD Staff
Prop. ID: __Q_05 R_
Building Height:
Rear Yard: BUT
As -Built:
After the Fact 2X the published amount
Waived:
$0.00
❑
$0.00
❑
Less than 1.75 Acres:
$30.00
V
$60.00
❑
1.76 to 5.00 Acres:
$60.00
❑
$120.00
❑
5.01 to 40.00 Acres:
$90.00
❑
$180.00
❑
40.01 Acres or more:
$120.00 ❑
$240.00
❑
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PAYMENT DATE
05/17/2024
COLLECTION STATION
CASHIER
RECEIVED FROM
ROBERT HIGGS
DESCRIPTION
1612 SELIEF LANE
CZ 2024 049
Kodiak Island Borough
710 Mill Bay Rd.
Kodiak, AK 99615
Payments: Type Detail Amount
Cash $30.00
Total Amount:
BATCH NO.
2024-00000329
RECEIPT NO.
2024-00001118
CASHIER
Teresa Medina
$30.00
Customer Copy
Printed by: Teresa Medina Page 1 of 1 05/16/2024 04:41:55 PM
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