USS 3101 LT 3A-1 - 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. �� W w —010/
The fo owing iin((//formattiioon�isto be supplied by the Applicant
Property Owner/Applicant:r7/ I "' l J/� U' y(c ^ // n //
Mailing Address: 23 /D m ��SI w /`� l-odtvk /-t/s / A
Phone Number:
Other Contact Email, etc..: !XMe- ./jk�AA5 ja CoeA-
Legal Description: Subdv: It 5 3101 Block: Lot:,S A /
Street Address: 3 y SpYI+ tc.c Cqe— %I �d z15' Ah- AL
Use & Size of Existing Structures:
Description of Proposed Action:ye-c- lI Uy\ 14 11�Ac
Applicant Certification: I hereby certify that I will comply with the provisions of the Kodiak Island Borough Code
and that 1 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 ofbutldi etback (yard) requirements. s
Title: CIA^e/L Print Name: / 0v�''C� �CeK�fC
Date: 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 invo a EPA Proof of EPA noti/stu,vided (if required)?
Defined Facility? ' mmedcal Buildings, 'Required for all demos, rebing at least UO sqInstallations, institute s, and residences feet, 260 lineafeet, or 35 culated Asbestos Containing
With more the our (4) dwelling unites" Material (RACM) and for renovative 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: V 2' Prop. ID: 2t�
Lot Area: 't I U Lot Width: _ Building Height: �35
Front Yard: 025 Side Yard: Jr Rear Yard: _ 1U
Parking Plan:_ Parking Spaces: t As -Built:
Staff Notes:
Date:
Pavment 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
❑
40.01 Acres or more: $120.00 ❑
After the Fact 2X the published amount
$0.00 ❑
$60.00 ❑
$120.00 ❑
$180.00 ❑
$240.00 ❑
Kodiak Island Borough
KODIAK ISLAND BOROUGH 710 Mill Bay Road
Kodiak, AK 99615
APPLICATION FOR REGISTRATION Attention:
Sri Finance Department
(907) 486-9324
Aoolicant Information
Name of Firm:
IA;el
Ik&
Owners Home Address:
Physical Address:
(S
f IZ{�w (
y]., /
Type of Business:
Mailing Address:3
Date Business started:
Name of Owner:
p
Alaska Business License No. &IU79 V1 I
Business Phone:
(—6
Home Phone: yi 61y-7109
Email address:
loke� JA /
iAgj CLO[tiN
Organization 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:
I 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
I 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 Date
Date
To Be Completed by The Kodiak Island Borough
Accepted
❑
By:
Date
Denied
❑
Title: