USS 2538A LT 5A-1B LEASE/ KIB - ZCP 1/30/2025Kodiak 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. C--JvZbZ5 - OZI
The following information is to be supplied by the Applicant
Property Owner/Applicant: (St W-iOD 6a2oUP, t4
Mailing Address: 4kO tAt u� "&c> t6Di &-tc_ i ,4g-- C, 9 (n t S
Phone Number: ao-1 • 942• S-9
Other Contact Email, etc..: CA-LLam^' @ US
Legal Description: Subdv:
F-15"
Lot: SA 16
Street Address: USS 2S584 (,-C Sft- 1E> �6-%& Ri ECf9 0f::FiC5F--.
Use & Size of Existing Structures: \f.RC-C .
Description of Proposed Action: A W6,AAe&j-c to trc , o nj o = 1 N rEcz,o
Au'i�> &-Y E 2 t oy— s-re-tie? e-E r-j .
Applicant Certification: I hereby certify that will comply with the provisions of the Kodiak Island Borough Code
and that I have the authority to cer ify 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.
Title: 4'ir cT i \rc Print Name: .,� t
Date: t 3a Znz-5— Signature:
Site Plan to include lot boundaries and existing easements a uildings, 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
IWDwoI10F.`2I&I 117 t
Staff Compliance Review
Does the Project involve A Proof of EPA notification vided (if required)?
Defined Facility? 'Co erical Buildings, `Required for all demos, renov ons disturbing at least UO sq
Installations, institution , and residences feet, 260 lineafeet, or 35 cu c ft of Regulated Asbestos Containing
With more than f r (4) dwelling unites` Matedal (RACM) and for renov on 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: ft - 11. Prop. ID: 1,43.6-&
Lot Area: -1, LDO Lot Width: l p Building Height: W
Front Yard: S5 Side Yard: I1 I'X 050 (13) Rear Yard: rl • 130.0 5 CC L)
Parking Plan: N,% kk Parking Spaces: J� �k As -Built: N�{�
Date: i
Payment Verification
Staff Certification
CDD Staff Signature:
Waived:
$0.00
❑
Less than 1.75 Acres:
$30.00
1.76 to 5.00 Acres:
$60.00
V
5.01 to 40.00 Acres:
$90.00
❑
40.01 Acres or more:
$120.00 ❑
After the Fact 2X the published amount
$0.00 ❑
$60.00 ❑
$120.00 ❑
$180.00 ❑
$240.00 ❑