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USS 4947 NEAR ISLAND - ZCP 3/12/2013F ' Kodiak 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 IM IlIIIII 11 16489 Submit by Email Permit No. CZ2013 -056 Property Owner / Applicant: Mailing Address: Phone Number: Other Contact email, etc.: Legal Description: Street Address: Use & Size of Existing Structures: The following information is to be supplied by the Applicant: City of Kodiak // AT & T Leasee c/o Tom Spaulding 1910 2nd Street, Kirkland, WA 98033 650.380.3140 tom.spaulding@selectsiteacq.com Subdv: prtn USS 4947 Near Island (Lease) nhn Alimaq Dr Block: Lot: 123'6" lattice tower w/ equip shelters used for wireless communications Description of Proposed Action: Upgrade the existing facility by installing 1 LTE RBS equip cabinet in the existing shelter, add a total of 3 new LTE Powerwave antennas w/ 6 RRUs & 1 surge protector. 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: Site Lease Front Yard: Prk'g Plan Rvw? No Plat / Subdivision Requirements? Current Zoning: Business KIBC 17.90 PROP_ID 16489 Does the project involve an EPA defined facility? Lot Width: Rear Yard: # of Req'd Spaces: Ref prior ZCP #CZ92 -082 (prior chp(s) 17.21.020 DD & 17.39.010) Bldg Height: Unlimited Side Yard: NO 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 1 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 of building setback (yard) requirements. Attachments? Site Plan Date: Jan 9, 2013 List Other: Signature: Martin Lydick (for Tom Spaulding 11AT &T' 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. 106.4.4 Expiration. 1997 UBC) per KIBC 17.15.060 A. ** CDD Staff Certification Date: Jan 9, 2013 CDD Staff: Martin Lydick 3' `� --5 Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Ro8m # 104- Main floor of Borough Building Aker - the -Fact 2X the published amount Not Applicable F $0.00 r $0.00 Less than 1.75 acres: [X $30.00 / %7 r $60.00 1.76 to 5.00 acres: F $60.00 VVV r $120.00 5.01 to 40.00 acres: $90.00 I D r $180.00 40.01 acres or more: F $120.00 r MAR 12 2013 $2' 0 (A. .r , , . - uJloUgl tm) ':i n inrp 0A.r arfn)anf i AN2425 NEAR ISLAND D R h 201 TRIDENT WAYy? KODAK, AK 99615 PAYMENT DATE Kodiak Island Borough BATCH NO. 03/1212013 710 Mill Bay Rd. 2013- 00000453 COLLECTION STATION Kodiak, AK 99615 RECEIPT NO. CASHIER 2013 - 00001110 RECEIVED FROM WES TOWER COMMUNICATIONS, INC. DESCRIPTION CITY OF KODIAKAT &T LEASEE C/O TOM SPAULDING NHN ALIMAQ DR CASHIER Teresa Medina RECEIPT DESCRIPTION ERTL"T475 727-MiremMm Zoning Compl Zoning Compliance Permit $30.00 CZ 2013 056 Payments: Type Detail Amount Check 113559 $30.00 Total Amount: $30.00 Printed by: Teresa Medina Page 1 of 1 03/12/2013 02:20:34 PM