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LEITE ADD BK 2 LT 16A-1 - ZCPKODIAK ISLAND BOROUGH Community Development 710 Mill Bay Road (Rm 204), Kodiak, Alaska 9961 5- 6340 - Phone: (907) 486-5736, ext. 255 or 254 ZONING COMPLIANCE PERMIT Permit #: C Z- 4 1. Property Owner/Applicant- Mailing Address: lS { DX_ 2. Legal Description: f..-4 {— Street Address: 1 51 °l VlAZ S5 e—&-• 3. Description of Existing Property/current Zoning: Tax Code #: f (' _. c 21 S3 5 Minimum Required Lot Area: 2.2)a ..6 Width: l9-� Actual Lot Area: - 3/ /52— c Width: %LJ1f Minimum Required Setbacks: Sides: i1/4! front: Maximum Building Height: 14' Rear: /LT Ai— AJ Use and size of existing structures on the lot itj Number and size of parking spaces required (onsite identification of parking spaces is required - Yes: No: Off-street loading requirement: Plat related requirements (e.g., plat notes, easements, subdivision conditions, etc.): kr*" Other requirements (e.g., zero lot line, additional setbacks, projections into yards, screening, etc Coastal Management Program Applicable Polices (check appropriate category) - Residential: x Business: Industrial: Other (list): Is the proposed action consistent with the KIB Coastal Management Program? - Yes: r No: If the proposed action conflicts with the Coastal Management Program policies, attach a sheet at notes the policy(ies), describes the conflict(s), and specifies conditions to mitigate the conflict(s). Attachment - Yes: No: 4. Description of proposed action (attach site plan): c S trigsl' T Wti..( /_ 6''v J 5 G d 5. 1pplicant 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 comer ' place in the field for verification of setbacks. r f Byr �`"s�. _ L��r. Date: 1©? ?i t �1 - Supporti tg docu en ed (check): Site plan: 6. Community Development staff for zoning, by: Ut su Title: Other (list): Date: /0 7 ./ Title: G 7. Fire Chief [City of Kodiak, Fire District #1 (Bayside), Womens Bay Fire District] approval for UFC (Sections 10.207 and 10.3010 by: Date: 16. Driveway Permit e ty of Kodiak, Borough) issued by: Date: 9. Septic system PLAN approved by: Date: stribution: File / Building Official /ApplicantTHIS FORM'DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED