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ALAGNAK ACRES LT 5 - ZCP 12/2/2020 (2)10 Kodiak Island Borough Print Form I Submit by Email**� ` 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. Czaoa� - Q3 The following information is to be supplied by the Applicant: Property Owner / Applicant: Mailing Address: Phone Number: Other Contact email, etc.: Legal Description: Subdv: H IO _ _ L ,�CCes Block: lot: 5 Street Address: Z i II Use & Size of Existing Structures: Description of Proposed Action: Site Plan to Include: tot boundaries and existing easements, existing buildings, proposed location of new construction, access points, and vehicular parking areas. Staff Compliance Review: Current Zoning: 6 ws PROP_ID (V 34y Lot Area: (0: 9 gac. Lot Width. lti I A Bld'g Height: 5 o I Front Yard: O1 A Rear Yard: Iy I A Side Yard: � IA Prk'g Plan Rvw? N Lk # of Req'd Spaces: Staff Compliance Review Notes and Specific Plat / Subdivision Requirements: Subd Case No. Plat No. Bldg Permit No. Does the project involve Proof of EPA notification provided (if required)? an EPA defined facility? 'Required far all demolitions, for renovations disturbing at least 160square ___ _ 'Commercial buildings, installations (military bases), leer, 260 lineor feet, or 35 cubk feet of Regulated Asbestos Containing Material (RACM), and Institutions (schools, hospitals) and residences with for renovations that remove a load -supporting structural member. more than four (a) dwelling units. No permit will be issued for such projects without proof of EPA notification Driveway Permit? Septic Plan Approval: Fire Marshall: Applicant Certification: 1 hereby certify that I will comply with the provisions of the Kodiak Island Borough Code and that l have the authority to certify this as the property owner, or as a representative of the property owner. t agree to have identirrable corner markers in place for verification of building setback (yard) requirements. Attachments? List Other: Date: Signature: Qlll This permit is only for the proposed project as described by the applican . 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 some construction permit." CDD Staff Certification Date: � 1l_71,9()3() CDD Staff. Payment Verification, Zoning Compliance Permit Fee Payable in Cashier's Office Room 4004 Main floorof Borough Building After -the -Fad 2X the published amount Not Applicable ❑ $0.00 ❑ $0.00 Less than 1.75 acres: ❑ $30.00 ❑ $60.00 1.76 to 5.00 acres: ❑ $60.00 ❑ $120.00 5.01 to 40.00 acres: $90.00 ❑ $180.00 40.01 acres or more: ❑ $120.00 ❑ $240.00 Transaction Receipt - Success Kodiak Island Borough Kodiak Island Borough Community Development MID:200006988265 710 Mill Bay Road Kodiak, AK 99615 907-486-9323 09/ 17/2020 10:24AM Remittance ID Kodiak091720142148395Par Transaction ID: 252566946 TIFFANY BASKINS 12647 Highway 72 W ROGERSVILLE, Alabama 35652 United States MasterCard Debit - 4888 Approval Code: 444996 Sale Amount: $90.00 Walmart Real Estate 256-389-8181 CZ2021-013 2911 Mill Bay Rd Service Fee: $2.25 Service Fee Type: Dual Transaction Total Amount: $92.25 Cardmember acknowledges receipt of goods and/or services in the amount of the total shown hereon and agrees to perform the obligations set forth by the cardmember's agreement with the issuer. Signature click here to continue. httn-//vo1nrit%1nn%1mont rnm/nrimin/4nriiaL nlr/vnnc/ 3Qr;7/trmnc=rtinnc/roroint/7Pavmontlfl-7ri7SRRQdR 1 /1