WOODLAND AC 2ND BK 3 LT 3A - ZCP 5/1/2025Zoning Compliance Permit
The
Property Owner/Applicant:-
Mailing Address:
Phone Number:
Other Contact Email, etc..:
Legal Description: Subdv:
Street Address:
Kodiak 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
Permit No. 'ff;?5?0Z5--04_Z
information is to be supplied by the Applicant
god iA&O Dr_ 1 JWJ A14
0' 055 8
QAgn_ 167
t 5 o�W—Block: 3
Use & Size of Existing Structures: Y 2 y0(3 afz�
Description of Proposed Action:
e 1' 5-- U 5e-
C 1-5—
Lot: 3A
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 place for verification of building setback (yard) requirements.
Title: / V ` r, Print Name: 1 �c)NA 5 , `Jri 1 eiv
I
Date: .5 1 ;t5 Signature:
Site Plan to include lot boundaries and existing easements and buildings,pproposed 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 if further review and
approval of the revised project is necessary.
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING
PERMIT IS REQUIRED.
a
Staff Compliance Revie
<< E, Doe's the Project involve EPA - Proof o A notification provided (if required)?
(' Z Refined Facility? `Commerica uildings, `Require r all demos, renovations disturbing at least UO sq
�- Installations, institutions, and r idences feet, lineafeet, or 35 cubic ft of Regulated Asbestos Containing
With more than four (4) elling unites` Mateda CM) 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 building permit issued for the same construction permit.
Current Zoning: 1e- r? j6
Lot Area:
Front Yard: -16
Lot Width:
t
Side Yard: _
Prop. ID: 20-135
Building Height:
�/3�✓ r
Rear Yard: l�
Parking Plan: Parking Spaces: As -Built:
Date: V�f i I
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
❑
$30.00 [�
$60.00
❑
$60.00 ❑
$120.00
❑
$90.00 ❑
$180.00
❑
$120.00 ❑
$240.00
❑
Transaction Receipt- Success
Kodiak Island Borough
Kodiak Island Borough Community Development
MID:200006988265
710 Mill Bay Road
Kodiak, AK 99615
907-486-9323
05/01/2025 12:26PM
Remittance ID:
Kodiak050125161734215Cur
Transaction ID:
335023193
THOMAS J. BOLEN
3974 Woodland Drive
KODIAK, Alaska 99615
United States
Visa Debit - 8913
Approval Code: 101981
Sale
Amount: $30.00
Thomas Bolen
907-942-0948
BZ2025-043
3974 Woodland 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.