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NEW KODIAK BK 18 LT 4A B/O - 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. C:626X' Q Z7 The following information is to be supplied by the Applicant Property Owner/Applicant: � + j O�IwGtl2 P A" l'Ltd dfr Mailing Address: Phone Number: QD- -- ,�j'&- 55 qj Other Contact Email, etc..: C� (Q.tr� .' tcooifak. ckyA4 ►16&-- i oil Legal Description: Subdv: 1 i 0 ttl V A&!1 L Block: 1_ Lot: qA—alp Street Address: Use & Size of Existing Structures: f V.- W K y` Aecb- 2 rises Asa (a rises 9ce( 12-r- ,AccESS 4a -mil -hl.rll- &J16- scant. Description of Proposed Action: 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 scorner markers in place for verification ofbuilding setb ard) requirements. Title: �LJ1{2 *- Print Name: Date: Signature:„ Site Plan to include lot boundaries and existing easements and buildin , propo d location ofnew construction, access points, and vehicular parking area, As -Built required wt a 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. Staff Compliance Review Does the Project involve EP Proof of EPA notification ovided (if required)? Defined Facility? `Comme' al Buildings, `Required for all demos, renov ons disturbing at least UO sq Installations, institutions, residences feet, 260 lineafeet, or 35 cu ' ft of Regulated Asbestos Containing With more than four dwelling unites` Material (RACM) and for renova n 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. If no building permit has been pulled the expiration date is six (6) months from date of approval. Current Zoning: Lot Area: Lot Width: �5 Front Yard: Side Yard: _�t Parking Plan: 4r- Parking Spaces:= Staff Certification Date: 7,/2� CDD Staff Signature: Payment Verification Prop. ID: j��?! {113 Building Height:' 1 7. 105. 060 t Rear Yard:O As -Built: --- After the Fact 2X the published amount Waived: $0.00 ❑ $0.00 ❑ Less than 1.75 Acres: $30.00 $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 ❑ PAYMENT DATE 03/26/2025 COLLECTION STATION CASHIER RECEIVED FROM KODIAK AREA CHAMBER OF COMMERCE DESCRIPTION 100 E MARINE WAY SUITE 300 Kodiak Island Borough 710 Mill Bay Rd. Kodiak, AK 99615 BATCH NO. 2025-00000225 RECEIPT NO. 2025-00000836 CASHIER Teresa Medina •�RECEIPT DESCRIPTION• • Zoning Compl I Zoning Compliance Permit I $30.00 CZ 2025 027 Payments: Type Detail Amount Cash $30.00 Total Amount: $30.00 Customer Copy Printed by: Teresa Medina Page 1 of 1 03/26/2025 08:39:57 AM