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USS 1678 TR B LT 4 - ZCP 4/29/2025Kodiak 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. �iZvZ�-O2� The following information is to be supplied by the Applicant Property Owner/Applicant:: I S�4 `��► I 1 Mailing Address: �nre c,, �rl U �• kgAa V � l Phone Number: _ IL) t (1-11 L. — Other Contact Email, etc..: Z I Legal Description: Subdv: to SS Its 79 `Ti2 6 Block: Lot: Street Address: 22. G 7 f�ceS,j (Dr t UQ— Use & Size of Existing Structures: C u c (`C vJ;Nwt\`, t 4 ( too Se) 3o X y 0 i (2do < Description of Proposed Action: l �ff >oII(( .6r c'I 1 +l- OJ� 1 �e ��`R�.tiT Co1r'Vkti U I C IoSfor Y WI l?e- Skc ) Al ' ec>.'Kth �0.\�WR-`t GO✓V!_ 4 kt� CVr1K' rs-) t aV"Jrty Applicant Certification: I hereby certify that I will comply with the provisions of the Kodiak Island Borough Code �'S°� and that I have the authority to certify this as the Property owner. or as a representative of the property owner. / agree to have identifiable corner markers in place for verification of building setback (yard) requirements. I re`E r— Title: VtryKGt� Print Name: -ReL& V0VjYy Date: Z0 2 Signature:_ Site Plan to include lot boundaries and existing easements and buildings, proposed location of new 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 iffurther review and approval of the revised project is necessary. THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED. pnes the Project invol A _ Defined Facility? " ommerical Buildings, Installations, in lions, and residences With more than four (4) dwelling unites' Staff Compliance Review _ Proof of EP r ication provided (if required)? 'Requir all demos, renovations disturbing at least UO sq 6Q Iineafeet, or 35 cubic ft of Regulated Asbestos Containing --M erial (RACM) and for renovation that remove load supporting structure' Expiration: Any Zoning Compliance Permit issued is subject to the same expiration, suspension, and revocation provisions as a buildingpermit issuedfor the same construction permit. /fno buildingpermit has been pulled the expiration date is six (6) months from date of approval. Current Zoning: Prop. ID: i Lot Area: L}Q 1a (Zf Lot Width: Building Height: Front Yard: 11. 7 O, Da"U Side Yard: Rear Yard: Parking Plan: J_)',c- Parking Spaces: (kjt94— As -Built: Staff Notes: Date: Payment Verification Waived: Less than 1.75 Acres: 1.76 to 5.00 Acres: 5.01 to 40.00 Acres: 40.01 Acres or more: Staff Certification CDD Staff Signature: After the Fact 2X the published amount $0.00 ❑ / $0.00 ❑ $60.00 ❑ $120.00 ❑ $90.00 ❑ $180.00 ❑ $120.00 ❑ $240.00 ❑ ){) i k o \l t � � - a � � M ƒ� $� E!,!: aA \� \�\\ } G \ ) ( I / \ � / m ■ § 09 Transaction Receipt- Success Kodiak Island Borough Kodiak Island Borough Community Development MID:200006988265 710 Mill Bay Road Kodiak, AK 99615 907-486-9323 03/04/2025 10:41AM Remittance ID: Kodiak030425144004722Cur Transaction ID: 332466121 2267 Forest Drive KODIAK, Alaska 99615 United States Visa - 9469 Approval Code: 00059D Sale Amount: $30.00 Ben/Stefanie Kondro 907-486-2267 BZ2025-028 2267 Forest Drive Service Fee: $2.00 Service Fee Type: Dual Transaction Total Amount: $32.00 Cardmember acknowledges receipt of goods and/or services in the amount of the total shown hereon and agrees to perform the obligations set forth by the cardmember's agreement with the issuer. Signature click here to continue.