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SHAHAFKA AC BK 2 LT 1A-2 - ZCP 11/18/2025Kodiak 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. $ZO 2.C4 — lyZl Property Mailing Address: Phone Number: The r;," ing infformation is/to be supplied by the Applicant . t6 �eZ6n . Other Contact Email, etc..: Legal Description: Subdv: Street Address: 29 U Use & Size of Existing Structures: Description of Proposed Action: 7/0 5�2 Block: Z Lot: / A .Z Applicant Certification: I hereby certify that 1 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 o uilding setback (yard) requirements. �il Title: Nn� Print Name: 1 e I 1 P Pt^ Date: jD Z t1/ ZS Signature: 4 a 9P 4, 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 A Proof of EPA notification pro ' ed (if required)? Defined Facility? .Co erical Buildings, 'Required for all demos, renovatio isturbing at least UO sq Installations, institutions, and residences feet, 260 lineafeet, or 35 cubic Regulated Asbestos Containing With more than four (4) dwelling unites" Material {RACM) and for renovatio 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. If no building permit has been pulled the expiration date is six (6) months from date of approval. Current Zoning: Q 2- n. io Prop. ID: 2M1 Z Lot Area: -1, Lot Width:_ Building Height: Front Yard: '� 5 Side Yard: 5 Rear Yard:' Parking Plan:4( Parking Spaces: As -Built: Qlk Staff Notes: Ox 't nq eg wNp,p4ay��Q Staff Certification Date: CDD Staff Signature: Payment Verification 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 ❑ $240.00 ❑ Kodiak Island Borough KODIAK ISLAND BOROUGH 710 Mill Bay Road APPLICATION FOR REGISTRATION Attendak, AK99615 Attention: Finance Department (907) 486-9324 Applicant Information Name of Firm: ) / Owners Home Address: Physical Address: 2938- &w_ D2 Type of Business: Mailing Address: 23 K ^Y'jcv'�, la Date Business started: Name of Owner: eh%"Alk asa Business License o. BiLiNLilsZ•$ Business Phone: 4 Home Phone: /7�G/ / Email address: 6 7 C � /t bh 5 ep /u �i • CGI�t� Oroanization Information Type of Organization ❑ Individual ❑ Partnership ❑ Corporation I ❑ Other (explain below) Is Business Seasonal? ❑ Yes ❑ No If yes, list the approximate dates business operates each year. From: I To: Number of months: To Be Completed If a Partnership or Corporation Name Name Name Title Title Title Mailing Address Mailing Address Mailing Address Home Address Home Address Home Address Phone Phone Phone Email Email Email Certification Statement 1 certify that the information on this application is true and correct. Any misstatements or omissions will result in civil action as directed by the borough assembly. Print or Type Name of Applicant I Date Signature & Title of Applicant To Be Completed by The Kodiak Island Borough Accepted ❑ By: Date Denied I ❑ Title: Transaction Receipt - Success Kodiak Island Borough Kodiak Island Borough Community Development MID:200006988265 710 Mill Bay Road Kodiak, AK 99615 907-486-9323 10/24/2025 12:46PM Remittance ID: Kodiak I 02425164430972Cur Transaction ID: 342544529 DANIEL P BEEHLER 2376 Mission Road KODIAK, Alaska 99615 United States Visa - 7803 Approval Code: 06841G Sale Amount: $90.00 By The Lake BNB 907-654-7109 BZ2026-021 2936 Mission Road 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.