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MILLER PT 1ST BK 5 LT 1D - ZCP 11/24/2025" Kodiak 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.'?')`eZOZ_P - OZJ The following information is to be supplied by the Applicant Property Owner/Applicant Mailing Address: Y Ie Phone Number: 7477 _W2-AU31 Other Contact Email, etc..: X",, .�/`-*� 4,e-� Legal Description: Subdv: /i1C6j:V2 /% Block: /,:m<,1F Lot: 4T ZD Street Address: /-,;F/- Use & Size of Existing Structures: Description of Proposed Action: ;24f2;i"�' cW 44a .4e-7Zio`� . 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: e;to (_ LEA Print Name: % �9`� _Ar_ 130zrl� Date: // /0 -17 Signature: _ Site Plan to include lot boundaries and existing ea _ nts and buildingT proposed location of new construction, access paints, and vehicular parking alea, 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 prov' ed (if required)? Defined Facility? "Commerical B ' ings, 'Required for all demos, renova' disturbing at least UO sq Installations, institutions, and resi nces feel, 260 lineafeet, or 35 cu of Regulated Asbestos Containing With more than four (4) dw ng unites" Material (RACM) and for renov n 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 lfno building permit has been pulled the expiration date is six (6) months from date of approval. Current Zoning: 4 Z " ­1 •-?O Lot Area: —1 , Z s Lot Width: 0 Front Yard: 2 `.� Side Yard: Parking Plan: K� )� Parking Spaces: Date: 1 1 11.61 ZP� 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 ❑ 40.01 Acres or more: $120.00 ❑ Prop. ID: 01 iTo'6 Building Height: Rear Yard: 0 r As -Built: It�l�7� l� u �V �✓i� 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 11/18/2025 02:31PM Remittance ID: Kodiak l l 18251828 52699 Wal Transaction ID: 343482379 ROBERT SMITH 3264 Baleka Ln KODIAK, Alaska 99615 United States Visa - 8904 Approval Code: 06590D Sale Amount: $30.00 Robert Smith 9079423333 2026-023 3264 Balcka Ln 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.