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USS 3218 TR C-1A MILL BAY ROAD - ZCP 3/7/2013Kodiak Island Borough Community Development Department 710 Mill Bay Rd. Rm 205 Kodiak AK 99615 Ph. (907) 486 - 9362 Fax (907) 486 - 9396 http://www.kodiakak.us Zoning Compliance Permit Print Form Submit by Email 16323 Permit No. C -2 ®r 3 -00g- Property Owner / Applicant: Mailing Address: Phone Number: Other Contact email, etc.: Legal Description: The following information is to be supplied by the Applicant: AT &T Mobility- Tom Spaulding 1910 2nd Street, Kirkland WA 98033 650.380.3140 tom.spaulding@selectsiteacq.com Subdv: USS 3218 TR C -1 A Mill Bay Road Street Address: 3174 Mill Bay Road Use & Size of Existing Structures: Block: Lot: A 63 foot communications tower with wireless communications equipment is located on the southwest quarter of the parcel. Description of Proposed Action: AT &T Wireless proposes to upgrade the communications facility by adding (3) LTE panel antennas with (6) Remote Radio Units- RRU's and (1) surge protector "SQUID" to the existing 63 foot tower. (1) new equipment cabinet will be installed within the existing equipment shelter with new fiber lines running from the equipment shelter to the communications tower. Site Plan to include: Lot boundaries and existing easements, existing buildings, proposed location of new construction, access points, and vehicular parking areas. Staff Compliance Review: Lot Area: Front Yard: Prk'g Plan Rvw? Plat / Subdivision Requirements? 6.31 Acres Current Zoning: Business KIBC 17.90 Does the project involve an EPA defined facility? Lot Width: Rear Yard: # of Req'd Spaces: Bld'g Height: Side Yard: PROP_ID 16323 If YES, do you have an EPA Return Receipt of Notification? "Permit will not be issued until receipt is submitted to KIB" Subd Case No. Plat No. Bld'g Permit No. Driveway Permit? Septic Plan Approval: Fire Marshall: Applicant Certification: 1 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. 1 agree to have identifiable corner markers in place for verification of building setback (yard) requirements. Attachments? List Other: Date: �� 4 9 Signature: p� C,,,_„964 J 4T4 "lU(F1dl 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, or operation, contact this office immediately to determine if further review and approval of the revised project is necessary. "EXPIRATION: Azoning compliance permit will become null and void if the building or use authorized by such permit is not commenced within 180 days from the date of issuance, or if the building construction or use is abandoned at any time, after the work is commenced, for a period of 180 days. Before such work can be recommenced, a new permit must first be obtained. (Sec. 706.4.4 Expiration. 7997 UBC) Per KIBC 17.15.060 A. ** MAR L r NO <Oil' .r ,. ,0111Jug tin9nr ^ onni Not Applicable r $0.00 Less than 1.75 acres: r $30.00 1.76 to 5.00 acres: r $60.00 5.01 to 40.00 acres: (X $90.00 40.01 acres or more: r $120.00 After - the -Fact 2X the published amount F $0.00 F $60.00 I $120.00 F $180.00 F $240.00 Duane Dvorak Community Development Department Kodiak Island Borough 710 Mill Bay Road, Room 205 Kodiak, Alaska 99615 RE: AT &T Zoning Compliance Permit CZ- 2013 -065 Mr. Dvorak Please find enclosed the $90.00 in fees for permit CZ- 2013 -065. In addition I have included a prepaid US postal envelope for the completed permit # CZ- 2013 -065 and CZ -2013 -051. Thank you and please feel free to contact me with any questions you may have Tom Spaulding Select Site Acquisitions 1910 2 nd Street Kirkland, WA 9803 650.380.3140 R �V��OVER MAR - 7 2013 U COMMUNITY DEVELOPMENT DEPARTMENT Tom .soaulding@selectsiteacg.com jQ[717C` \( \ °\ 9 a glm \ 2` ` 2 / P\ ] :` 7 z V GP \ \ \} . . > } }\ _ i ! 0 } 4 � } }� \ N � \(� 0) . q C) m o \ - < :< , :,. a v -- / + °!)m o / o 2 © 2 } a ) mz ems «N 3174 M ILL �a _, ) - _ , AN 2426 BRECHAN 3174 MILL BAY ROAD KODIAK, AK 99615 r� v�n � N ; J 0 �c O� 0 - 0 JLl _ O O - r . , t O O� cr :r t i r 1 O G v vO ll rl " C: " 'U,\ O o _ o" �t� ; } ` ( v 2110 t =' J 4 < _. C) vg C, 1 F C? AN 2426 BRE 3174 ROAD MILL BAY ROAD c; KODIAK, AK 99615 Rl 0 z m z Rl > a-. e s z z CO Z ----- --------------- Z 06 < m AN 2426 BRECHAN 3174 MILL BAY ROAD KODIAX, AK 99615 K � z z � 1 a x. _ z z a n AN 2426 BRECHAN 3174 MILL BAY ROAD KODIAK, AK 99615 a € 4 PAYMENT DATE Kodiak Island Borough BATCH NO. 03/07/2013 710 Mill Bay Rd. 2013- 00000445 COLLECTION STATION Kodiak, AK 99615 RECEIPT NO. CASHIER 2013 - 00001088 RECEIVED FROM CASHIER WesTower Cashier Communications, Inc. DESCRIPTION CZ- 2013 -065 AT &T Mobility -Tom Spaulding Addition of new equipment to existing tower CZ- 2013 -065 AT &T Mobility -Tom Spaulding Addition of new equipment to existing tower Payments: Type Detail Amount Check 112828 $90.00 $90.00 Total Amount: 1 $90.00 Printed by: Cashier Page 1 of 1 03/07/2013 09:37:57 AM