USS 2739/3066AB PTN BK 6 LT 1A COVE MHP - ZCP 4/5/2016Mar 3016 01:48p Gabriel W. Mcg'
.g Kodiak Island Borough
trig Community Development Department
710 Mill Bay Rd. Rm 205
Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
http://www.kodiakak.us
Zoning Compliance Permit
92F -14-2455 p. i
Prt9tf6rp� Submit by Email
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23527
Permit No. BZ2016-0•-(O
The following information is to be supplied by the Applicant:
Property Owner / Applicant: MHP: UYAK Natives, Inc. -Gabriel McKilly, President, CEO / Mobile Home: Loren Delacruz
Mailing Address: P.O. Box 31, Chignik, AK 99564
Phone Number: (928) 764-2455
Other Contact email, etc.: uyak@citlink,net
Legal Description. Subdv: USS 3066AB
Block: 6 Lot: 1
Street Address: 1897 L Street, Kodiak, AK 99615
Use & Size of Existing Structures: 19 space Mobile Home Park with mobile homes in all spaces except space 19.
Description of Proposed Action: Move 14' x 60' mobile home from lackson's Mobile Home Park Space P 57 (Prop ID 21288) to Cove
Mobile Home Park Space #r19 as depicted on attached site plan.
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: Current tonin R3 KIBC 17.85
g� PROP ID 23527
Lot Area: 1.46 acres
Front Yard: 25,
Prk'g Plan Rvw? Yes
Lot Width: 60'
Rear Yard: 10'
N of Req'd Spaces: 2
Bldg Height: 35'
Side Yard: S'
Staff Compliance Review Notes:
Plat / Subdivision Requirements?t;,(,j t� ; J1FF—kkjT f E� f S 'N V E ���b-� W��V£Q
MUVN-. Tb M6f'i 'rHE P-tc2u &LMS1 3L5 OF 1140, S �
Subd Case No. S12-013 Plat No. 2012-9/2015-14 Bld'g Permit No. TBD by Building Dept.
Mar 3016 01:48p Gabriel W. McK
Does the project involve NO
an EPA defined facility?
'Commercial buildings', installations (military bases),
institutions (schools, hospitals] and residences with
more than four (4) dwelling units.
Driveway N/A
Permit?
Septic Plan NIA
Approval:
Fire TBD by Building Dept.
Marshall:
928 ' 4-2455 p.2
Proof of EPA notification provided (if required)? N f A
'Required for all demolitions, for renovations disturbing at least 16o square
Jett, 26011nearfeet, or 35 cubic.Feet of Regulated Asbestos Containing Material (R4CM), and
for renovations that remove a lood-supportlag structural member.
No permit will be issued for such Projects without proof of EPA notification
Applicant Certification: l hereby certify that! will comply with the provisions of the Kodiak [stand Borough Code and that I
have the authority to certify this as the property owner, or as a representative of the property owner. 1 agree to have identifiable
cornermarkers in place for verification of building setback (yard) requirements.
Attachments? Site Plan List Other.
SEICL ,gel*l 6, Nil`-LF-CWZ- AS A(Ev .
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✓ ?/�Date: -3 �3d dl ( Signature (MHP). GKilly, President, CEO-UYAK Natives, Inc.
Date: S vl 10 7,
Signature (Mobile home):
This permit is only for the proposed project as described by the applicant. -if th are any. h ges to the
proposed project, including its intended use, prior to or during its siting, construction, or ration, contact
this office immediately to determine if further review and approval of the revised project is necessary.
THIS FORM DOES NOTAUTHORIZE CONSTRUCTION WHENA BUILDING PERMITIS REQUIRED.
"EVIRATION. Anyzoning compliance permit issued is subject to the same expiration, suspension, and revocation provisions as a
building permit issued for the same construction permit. -
CDD Staff Certification
Date:L f )r �L'llo CDD Staff Jack Maker
Payment Verification Zoning Compliance Permit Fee P&41e in
Not Applicable
Less than 1.75 acres:
1.76 to 5.00 acres:
5.01 to 40.00 acres:
40.01 acres or more:
❑ $ 0.00
Office Room # 104- Main Door of Borough Building
After -the -Fact 2X the published amount
❑ $0.00
® $30.006-) [] $60.00
❑ $60.00 U ❑ $120.00
❑ $90.00 ❑ $160.00
❑ $120.00 ❑ $240.00
APR
APR 05 201
KODIAK I i ANL) BUROU H
FINANCE DEPARTMENT
PAYMENT DATE Kodiak Island Borough
04/05/2016 710 Mill Bay Rd.
COLLECTION STATION Kodiak, AK 99615
CASHIER
RECEIVED FROM
NORA DELA CRUZ
DESCRIPTION
MHP UYAK NATIVE, INC. GABRIEL MCKILLY 1897 L ST
BATCH NO.
2016-00000370
RECEIPT NO.
2016-00000897
CASHIER
Teresa Medina
CODE.PAYMENT DESCRIPTION TRANSACTIONAMOUNT
Zoning Compl
Zoning Compliance Permit
$30.00
BZ 2016 056
Payments:
Type Detail Amount
Check 1018 $30.00
Total Amount:
$30.00
Customer Copy
Printed hv- Teresa Medina Pane 1 of 1 04/05/2016 03.43:25 PM
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Subject: Form
From: loren delacruz (alaska99615@outlook.com)
To: fashgifts@yahoo.com;
Date: Tuesday, April 5, 2016 2:45 PM
I Loren Dela Cruz, owner of the Mobile home at 2717 Turner lane, I hereby to
authorize my Mother Norable Dela Cruz ,act as my agent and sign any permits or
document on my parts required for the move of my Mobile home park space from
Jackson Mobile Home park space 57 to Cove Mobile Park space 19.
Please don't hesitate to call me at #9077930480 for further question and my email
@ com
Loren Dela Cruz