ANCIQ LT 3A - ZCP 5/22/2025oa
Kodiak Island Borough Z
Community Development Department z Z
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.'ZOZ
The following information is to be supplied by the Applicant
Property Owner/Applicant: Richard Lorenzo
Mailing Address: 1020 Amelith Rd Bay City, MI 48706
Phone Number: 989-450-3050
Other Contact Email, etc..: richardlorenzo1016@gmail.com
Legal Description: Subdv: ANCIQ Block: Lot: 3A
Street Address: Amook Island
Use & Size of Existing Structures: N/A
Description of Proposed Action: New build cabin, 24' wide by 32' long w/ 8' porch.
House plans/drawings will be attached in separate email.
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 aramriv 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: Owner Print Name: Richard Lorenzo
Date: 5/21/2025 )
Signature:
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Site Plan to include lot boundaries and existing easements and buildings, proposed lac n 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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Staff Compliance Review
Does the Project involve EPA Itr Proof of EPA notificatio provided (if required)?
Defined Facility? 'Commerical ildings, *Required for all demos, renov ons disturbing at least UO sq _
Installations, institutions, and resid nces feet, 260 lineafeet, or 35 cubic of Regulated Asbestos Containing
With more than four (4) dwelli g unites' Material (RACM) and for renovation at 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: Prop. ID:
Lot Area: ,�� Lot Width: Building Height: ��
Front Yard: Ik)l+tr Side Yard:_ % Rear Yard: S5'
Parking Plan: Nh Parking Spaces: 1v) As -Built: �fgt)
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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
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$0.00
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$30.00
❑
$60.00
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$60.00
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$120.00
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$90.00
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$180.00
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$120.00
$240.00
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Transaction Receipt- Success
Kodiak Island Borough
Kodiak Island Borough Community Development
MID:200006988265
710 Mill Bay Road
Kodiak, AK 99615
907-486-9323
05/22/2025 08:28AM
Remittance ID:
Kodiak052225122728744Cur
Transaction ID:
335977592
RICHARD LORENZO
1020 Amelith Road
BAY CITY, Michigan 48706
United States
Visa - 1594
Approval Code: 05092D
Sale
Amount: $120.00
Richard Lorenzo
9894503050
BZ2025-045
PID 25406
Service Fee: $3.00
Service Fee Type: Dual Transaction
Total Amount: $123.00
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.