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BELLS FLATS BK 7 LT 2K - ZCP 6/3/2020Kodiak Island Borough �`^�,►�� 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 Permit No. (-z,-)ow - .7.� _. ' The following information is to be supplied by the Applicant: Property Owner / Applicant: Mailing Address: Phone Number: Other Contact email, etc.: Legal Description: � V -V Subdv: �v Street Address: J 1 !4, X 60, Use &Size of Existing Structures: Y1 q Description of Proposed Action: Block: Lot: I 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: PROP—ID Lot Area: , I) 61C Lot Width: Bld'g Height Front Yard: Rear Yard: p ' Side Yard: Prk'g Plan Rvw? # of Req'd Spaces: Staff Compliance Review Notes: Plat/Subdivision Requirements: Subd Case No. Plat No. Bld'g Permit No. 66( Does the project involve 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: Proof of EPA notification provided (if required)? *Required for all demolitions, for renovations disturbing at Ieast160 square feet, 1601inear 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: 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? List Other: Date: 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: (_ I CDD Staff: Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room # 104- Main floor of Borough Building 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 JZ $30.00 ❑ $60.00 ❑ $90.00 ❑ $120.00 After -the -Fact 2X the published amount ❑ $0.00 ❑ $60.00 0 $120.00 ❑ $180.00 ❑ $240.00 as% V� O C, �