USS 4947 TR A NEAR ISLAND - ZCP 8/15/2025 (2)Kodiak Island Borough
Community Development Department
710 Mill Bay Road Room 202
Kodiak, Alaska 99615
Phone (907) 486-9363 Fax (907) 486-9396
bcurric@kodiakak.us
Zoning Compliance Permit Permit No. r;, wtD - o7i
The following information is to be supplied by the Applicant
Property Owner/Applicant: t)aVg.2`�fi(`Lo(- AL�AsKA FPX,AtAKS
Mailing Address
Phone Number:
Other Contact Email, etc..:
L,, n gL:'i'tJE>
Legal Description: Subdv: �� I IT
L4 �� f lockc�: Lot:
Street Address:
Use & Size of Existing Structures: A 'yQ()' K76' M pRq BVI Z.OLVA , . A ;6' 7c
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Description of Proposed Action: ES4-A A TC"(-T 1*6'el T��sEa�Mk2 jQ
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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:
JU5� r��Ar
Print Name:
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Date:/��
/7_
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 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 EPA Proof of EPA notification provided (if required)?
Defined Facility? `Commerical Buildings, `Required for all demos, renovations disturbing at least UO sq _
Installations, institutions, and residences feet, 260 lineafeet, or 35 cubic ft of Regulated Asbestos Containing
With more than four (4) dwelling unites" Material (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 building permit issued for the same construction permit.
Current Zoning: _ ! 1- Z0 Prop. ID: 1l QC Z
Lot Area: 1 t ZcX7l Lot Width: Lao' Building Height:
Front Yard: �%5 ` Side Yard: "l'1 i J'• Rear Yard:
Parking Plan: f� / Parking Spaces: Q As -Built:
Staff Notes:
Date: -1 l 2,;Z1 -,?j
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
5.01 to 40.00 Acres:
$90.00
LL
40.01 Acres or more:
$120.00 13
After the Fact 2X the published amount
$0.00 ❑
$60.00 ❑
$120.00 ❑
$180.00 ❑
$240.00 0
10
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R. 50���
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rU.S.G.S. QUAD KODIAK (0-land D-2),1940 SCALE: 1"= I MILE
2j.
93 s.. OWNERSHIP AFFIDAVIT_
1 HEREBY CERTIFY THAT THE CITY OF KODIAK IS THE OWNER OF THE
PROPERTY SHOWN AND DESCRIBED HEREON. I HEREBY REQUEST APPROv.:_
OF THIS PLAT S WING SUCH EASEMENTS FOR PUBLIC ROADWAYS AN.:
U LI IES J3Ei�C T 0 Y THE CITY OF KODIAK FOR PUBLIC USE.
DATE (/• Z7• &o
A OR, CITY OF KODIAK
NQTARY'S ACKNOWLEDGMENT. �' �•f
SUB�CRISEO AND SWORN TO BEFORE ME THIS— 27T* .-0AY' OP'
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MY CgMMI,SSION \0PIRES
Transaction Receipt - Success
Kodiak Island Borough
Kodiak Island Borough Community Development
MID:200006988265
710 Mill Bay Road
Kodiak, AK 99615
907-486-9323
07/29/2025 10:34AM
Remittance ID:
Kodiak072925142948529 Wal
Transaction ID:
338920483
MELISSA GOOD
118 Trident Way
KODIAK, Alaska 99615
United States
MasterCard - 9649
Approval Code: 027941
Sale
Amount: $90.00
Melissa Good
9072993296
2026-004
118 Trident Way
Service Fee: $2.25
Service Fee Type: Dual Transaction
Total Amount: $92.25
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.
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