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LEITE ADD BK 2 PTN LT 17 - ZCP (3)710 Mill Bay Road (Rm 204), Kodiak, Alaska 99615-6340 - Phone: (907) 486-5736, ext. 255 or 254 Z O N I NG O M N L 1 A N L E PERMIT Permit #: Property Owner/Applicant: MI 1( OnMCS *ti 1 e Af { l Number and size of parking spaces required (onsite identification of parking spaces is required - Yes: No: _inrrielIti --31(-1, T 7oc�� Mailing Address:P.D �{' Kik 15 o • I CJl tc. ?,. Legal Description: LCL '-7 02 1 n-VD�>) ibI1CY ca ) �e i1yv adc 010h) � 4 Off-streetloading requirement: A)/4" -- Street Address: M1133) l) �� Tax Code #: _ ( 060 i� (-1- C? Plat related requirements (e.g., plat notes, easements, subdivision conditions, etc.): Lj -eN 3. Description of Existing Property/current oning: 12-- 1 -- S (? (Z— <,-2& �+ Ij,,ie 0 a 67--J w(1(4 (,5s>- �--77 Minimum Required Lot Area: C��� Width: © "0. -7 e0\44w� r _ lam'` .i- �'s w < < r���� , c Other requirements (e.g., zero lot ine, additional setbacks, proles 'ons into yards, sa ing, etc.): Actual Lot Area: 3 G% /b Width: CI ''v ( 'c am J c nC '-t--I/2-.5 c - -,.� , vCj � �'F Z �O �'ZQ 14, titsr' S Q/I�U/ SCG I���1t'�v Minimum Required Setbacks: Sides: '3 °4-- ���� nt: 2 'F-�Y . Rear:_ � ` Fes , -c -' �,1-0 � I ,'(o P� Cha_ -A,- �.. , t'�► Coastal Management Program Appli • ble Polices (check appropriate category) - Residential: Business _ Maximum Building Height: '35 'e'e% Industrial: Other (lisp: Use and size of existing ructuress on the lot t _. C 5 MA._ 4 Is the proposed action consistent with the KIB Coastal Management Program? - Yes: No: V-C.tM• OSw . Lbt.-4 If the proposed action conflicts with the Coastal Management Program policies, attach a sheet that notes the policy(ie ) describes the conflict(s), and specifies conditions to mitigate the conflict(s). Attachment - Yes: No: (:_e_qs Description of proposed action (attach site plan): AJ et,j /e-__._, S t ',rte, /0 s F (Z , I I c kC.v�-e— -c-,[Fi._ b- -P'4C2 � , ..rip l scant Certification: 'her certify that I will comply with the provisions I a• r( have identif ,!e comer mar ers lace in the field for verification of £ / / 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. setbacks. Date: . �J ,- Title: //c22 n'By Supporting documents attached (check): Site plan: A As.bui t suryey: o cher (list}: . CommunityDate: Title: ‘50-r-l-L--�i,vie'1� Development Serf far:«ting, by: 4 . Fire Chief [Gty of Kodiak, Fire District t!1 (Bayside), Womens Bay Fire District] approval for UFC (Sections 10.207 and 10.3010 by: Date: Driveway Permit (state, Gty of Kodiak, Borough) issued by: Date: 9. Septic system PLAN approved by: Date: iution: File / Building Official /ApplicantTHIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED lune 1991