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ALLMAN & LALANDE LT 6A - ZCP 7/14/2017Kodiak Island Borough Print Form Submit by Email x Community Development Department eo}.. 710 Kodiak AK9 61 205 Mill Bay Rd. 5III IIIIIVIIIIIIIVIIIIII Ph. (907) 486 - 9363 Fax (907) 486 - 9396 14745 http://www.kodiakak.us Zoning Compliance Permit Permit No. CZ2018-004 The following information is to be supplied by the Applicant: Property Owner / Applicant: Rodrigo De La Cruz Mailing Address: PO Box 493 Phone Number: 512-7722 Other Contact email, etc.: Legal Description: Subdv: Allman & Lalande Block: Lot: 6A Street Address: 1412 Mill Bay Rd Use & Size of Existing Structures: House Business/Residence Description of Proposed Action: Demolition and site clearing 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 Zoning: Business KIBC 17.90 PROP—ID 14745 Lot Area: 7,653 SF Front Yard: Prk'g Plan Rvw? Staff Compliance Review Notes: Plat/ Subdivision Requirements? Lot Width: Rear Yard: # of Req'd Spaces: Bld'g Height Side Yard: 50' Front setback: 40 ft from centerline 17.155.010 Additional setback requirements. Subd Case No. Plat No. Bld'g Permit No. TBD Bldg Dept 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 Permit? Septic Plan Approval: Fire Marshall: N/A N/A TBD Bldg Dept Proof of EPA notification provided (if required)? N / A *Required for all demolitions, for renovations disturbing at least 160 square feet 260 linear feet or 35 cubic feet of Regulated Asbestos Containing Material (RACM), and for renovations that remove a load -supporting structural member. No permit will be issued for such projects without proof of EPA notification Applicant 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. 1 agree to have identifiable corner markers in place for verification of building setback (yard) requirements. Attachments? Not Applicable List Other: Date: Jul 14, 2017 Signature: 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. THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED. ** EXPIRATION: Any zoning 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: Jul 14, 2017 CDD Staff: Payment Verification Zoning Compliance Permit Fee 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 yable in Cashier's Office Room # 104 - Main floor of Borough Building After -the -Fact 2X the published amount $0.00 El $0.00 CM$30.0(�� 0 $60.00 0 $60.00 0 $120.0A I ID E] $90.00 R $180.0 El $120.00 0 $240.00 j ,1 14F r KODIAKibimuouliuuut i=lnlehiprntDA"Whrr PAYMENT DATE Kodiak Island Borough BATCH NO. 07/14/2017 710 Mill Bay Rd. 2018-00000016 COLLECTION STATION Kodiak, AK 99615 RECEIPT NO. CASHIER 2018-00000052 RECEIVED FROM CASHIER RODRIGO DE LA CRUZ Teresa Medina DESCRIPTION 1412 MILL BAY RD Zoning Compl Zoning Compliance Permit $30.00 CZ 2018 004 Payments: Type Detail Amount Cash $30.00 Total Amount: $30.00 Customer Copy Printed hv: Teresa Medina Pane 1 of 1 n7/1d/9(117 nR•d9.17 AM