NEW KODIAK BK 3 LT 2-6 - ZCP 3/2/2021,« ,1
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Kodiak Island Borough j Print Form Submit by Email
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Community Development Department
710 Mill Bay Rd. Rm 205
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Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
http://www.kodiakak.us
Zoning
ompliance Permit Permit No. �z�Da 1 , '20
The following information is to be supplied by the Applicant;
Property Own
r /
Applicant: 2-i Y� ry) e v' rnG Y,\ ! 1 )cw CI Z t two w�p yt
Mailing Addre
s:
Phone Numbe
-i
ail, etc,: �'� �k) Ca clm<, i , C I
Other Contact
en
Subdv: �/ Block: 3 Lot: �^
Legal Descript
on:
Street Addres
yse & Size of I
:
xis
'St .
ing Structures:
Q 5�
i
U
i
Description of
Proposed
Action:
Site Plan to in
and vehiculai
ud
parking
: Lot boundaries and existing easements, existing buildings, proposed location of new construction, access points,
areas.
Staff Compl
ante
Review: Current Zoning: �Q US PROP —ID i5
L.ot Area:
r' (�C Lot Width: N 1A Bld'g Height: 5'
Front Yard:
1 Rear Yard: tj l� Side Yard:
Prk'g Plan Rv
?
Ix # of Req'd Spaces:
Staff Complian
e
eview Notes and Specific Plat / Subdivision Requirements:
i
i
Subd Case NO!
;; j Plat No. Bldg Permit No.
Does the project nvolve
an EPA defined f cility?
#Commercial bui'dini fs, installations (military bases),
Institutions (schi tols, hospitals) and residences with
more than four ) d veiling 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 260 linearfeet, 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 et'tification: I hereby certify that I will comply with the provisions of the Kodiak Island Borough Code and that I
have the auth on y to certify this as the property owner, or as a representative of the property owner. I agree to have identifiable
corner marke s i P place for verification of building setback (yard) requirements.
Attachments. List Other:
Date: , O Signature:
This permit is only for the proposed project as described bb he applicant. If there are any changes to the
proposed p of ect, 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.
THISFOW, DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED.
** EXPIRATIOV: 4ny zoning compliance permit issued is subject to the same expiration, suspension, and revocation provisions as a
building per it i sued for the same construction permit.**
Date:
CDD Staff: IVA I "V) cc,
v
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
El$0.00
El
$0.00
Less than 1.75 acres:
(Qj
YN
$30.00
$60.00
1.76 to 5.00 acres:
$60.00
❑
$120.00
5.01 to 40.00 acres:
D
$90.00
F1
$180.00
40.01 acres or more:
$120.00
F
$240.00
lU/LU/LULU
v-t,ua - i ransaction Kecep
Transaction Receipt - Success
Kodiak Island Borough
Kodiak Island Borough Community Development
MID:200006988265
710 Mill Bay Road
Kodiak, AK 99615
907-486-9323
10/20/2020 02:15PM
Remittance ID
Kodiak 1020201814059131'ar
Transaction ID:
254811825
DON ZIMMERMAN
PO Box 1157
KODIAK, Alaska 99615
United States
Visa - 7165
Approval Code: 05711 D
Sale
Amount: $30.00
David Zimmerman
4865797
CZ2021-20
210 Shelikof Street
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.
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