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LAKESIDE 2ND LT 1C - ZCP 12/2/2020Kodiak Island Borough Print Form Submit by Email e"A& 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. 67 ;LDSLi - The following information is to b�+e supplied by the Applicant: l�- Property Owner / Applicant: i N (2'1 ky A41le Mailing Address: Phone Number: Other Contact email, etc.: l�I f,5 �l5 D 11 y; 3 oi- 15161 Legal Description: Subdv: �i'�� ✓ Block: r� Lot: Street Address: l'l", ) s 6::2 of r L cA- e I) r- Use & Size of Existing Structures: Inl11 are Description of Proposed Action: 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: 11 r\ A- Current Zoning: — _ Lot Area: r �3 Lot Width: 11-15 Front Yard: so l Rear Yard: I O I Prk'g Plan Rvw? Ij'N # of Req'd Spaces: Staff Compliance Review Notes and Specific Plat / Subdivision Requirements: PROP —ID ,5; OG Bld'g Height: . /' A Side Yard: a () r Subd Case No. Plat No. Bldg Permit No. Does the project involve an EPA defined facility? 'Commercial buildings, installations (military bases), institutions (schook, 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 least 160 square feet 2601inear feet or35 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 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. I agree to have identifiable corner markers in place for verification of building setback (yard) requirements. Attachments? List Other: Date: �� � Signature: i 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: 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: ay a-_D CDD StafF. Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room # 104 -Main floor of Borough Building After -the -Fact 2X the published amount Not Applicable $Q.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: n $90.00 ❑ $180.00 40.01 acres or more: M $120.00 $240.00 C R.� id �LSD�✓ 74O-ripr v6 s a c n.� G,� e IU5 Y- 00 -e r rn I. f j�- Gi, f t-11�rre `t D v 3 <9 �1�d r✓ cN S�cT��✓� -3 o� f-t"t G41,14 _ C 7- re S�-L/ - q62© / Transaction Receipt - Success Kodiak Island Borough Kodiak Island Borough Community Development MID:200006988265 710 Mill Bay Road Kodiak, AK 99615 907-486-9323 09/24/2020 04:14PM Remittance ID Kodiak092420200309606Par Transaction ID: 253037133 CRAIG OLSON PO Box 32 KODIAK, Alaska 99615 United States Visa - 9178 Approval Code: 04417D Sale Amount: $30.00 City of Kodiak 5391519 BZ2021-015 2430 Beaver Lake Dr Service Fee: $1.00 Service Fee Type: Dual Transaction Total Amount: $31.00 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. httnc H—Inrihin—mcnt rnm/nrlmin/4nrlia4n4/vnnc/'4Qri7/trancortinnc/rannint/?Pavmcntlr)=7ri'3(1'A71'A3 1 /1