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.
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