SOUTHEAST ADD BK 1 LT 7 - ZCP 8/15/2025Kodiak 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. r.)tuty - dtt a
The following information is to be supplied by the Applicant
Property
Mailing A
Phone Ni
Other Contact Email, etc..:
Legal Description: Subdv:
Street Address: 1 „, 1 Z LAA&At MiA?z�
Use & Size of Existing Structures: VACAA/ `f
Block: 4_ Lot:
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 ofbuilding setback (yard) requirements.
t A n
Title: Print Name: 1 Ci � - ( � � /a f+e9
Date: 2 Signature: 1j ���& "
Site Plan to include lot boundaries and existing easements and buildings, proposed location 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 iffurther review and
approval of the revised project is necessaty.
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING
PERMIT IS REQUIRED.
Staff Compliance Review
Does the Project involve EP Proof of EPA notification rovided (if required)?
Defined Facility? *Comm cal Buildings, 'Required for all demos, renovat' ns disturbing at least UO sq
Installations, institutions, residences feet, 260 lineafeet, or 35 cubic of Regulated Asbestos Containing
With more than four dwelling 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: 1i- 0
Lot Area:up Lot Width: JJU
Front Yard: � Side Yard:
Parking Plan: I UR Parking Spaces: 1_
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:
$0.00
$30.00
$60.00 ❑
$90.00 ❑
$120.00 ❑
Prop. ID: ti`l it
�t
Building Height:
Rear Yard: V
As -Built:
After the Fact 2X the published amount
$0.00
$60.00
$120.00
$180.00
$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
08/06/2025 03:30PM
Remittance ID:
Kodiak080625192843 967 Wal
Transaction ID:
339323670
DEVIN HURLEY
P.O. BOX 864
KODIAK, Alaska 99615
United States
Visa - 5277
Approval Code: 02074D
Sale
Amount: $60.00
Timothy Hurley
9075127550
2026-006
1212 Father Herman
Service Fee: $2.00
Service Fee Type: Dual Transaction
Total Amount: $62.00
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.
Transaction Receipt - Success
Kodiak Island Borough
Kodiak Island Borough Community Development
MID:200006988265
710 Mill Bay Road
Kodiak, AK 99615
907-486-9323
08/06/2025 03:26PM
Remittance ID:
Kodiak080625182740385 Wal
Transaction ID:
339323533
DEVIN HURLEY
P.O. BOX 864
KODIAK, Alaska 99615
United States
Visa - 5277
Approval Code: 05582D
Void
Amount: $30.00
Timothy Hurley
9075127550
2026-006
1212 Father Herman
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
Transaction Receipt - Success
Kodiak Island Borough
Kodiak Island Borough Community Development
MID:200006988265
710 Mill Bay Road
Kodiak, AK 99615
907-486-9323
08/06/2025 02:31PM
Remittance ID:
Kodiak080625182740385 Wal
Transaction ID:
339321923
DEVIN HURLEY
P.O. BOX 864
KODIAK, Alaska 99615
United States
Visa - 5277
Approval Code: 05582D
Sale
Amount: $30.00
Timothy Hurley
9075127550
2026-006
1212 Father Herman
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.
To whom it may concern:
We hereby give our permission to Mike Otto to represent us on any and all zoning compliance
applications required to demolish the improvements located at 1212 Father Herman Street
Timothy Hurley
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