CLIFF POINT EST OCEANFRONT ADN #1 LT 4A - ZCP 4/13/2021Kodiak island Borough
Community Development Department
-� 710 Mlii 8by Ad, Am 205
Kodiak AK 99615
Ph, (907) 4%- 9363 fax (901) 486. 9396
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Zoning Compliance Permit
Print Form Submit by Emwl
Permit No, O-Z o011_p51
The following Information Is to be supplied by the Applicant:
Property Owner / Applicant: C LA A NDLEr9 ANC 16'A7m 5md. pN
Mailing Address:
Phone Number: q 0 `J'
Other Contact email, etc.. I'1,01)1 AV, COAd 6? HOiI`1A L. tom
Legal Description: Subdv Block: Lot.
Ci_1 � fat 5'i= OcE�a�lff<Nf App._
Street Address: i iCAe,
Use & Size of Existing Structures:
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: Current Zoning: Q ��] -� PROP_111) PL4 le V7
Lot Area: 00.090 .. Lot Width: I � Btd'g Height: S*' r
Front Yard: Rear Yard: t n Side Yard: n 0
Prk'g Plan Rvw? �,, ` — l # of Req'd Spaces: - —
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
Subd Case No. Plat No. Bld'g Permit No.
Does the project involve Proof of EPA notification provided (lf required)?
an EPA defined facility? rcloi *A#quNMJaroN*motlthw Joerhwa�trtlarnrdhtwbing#tkWtx60$Owe ,�
•CanmebuHdlnpa, ►mtalintkna (mJNtory bosetl, feet 160 0rIM firer, or 3S 0WC feet of RePoted AdVstos Contolelny Matrr101 RACMI. and
tnstitudom (school;, howtals) 0r4 residentas wkh iw renovado�n that reve moa hsa#4s (
rnott thon four (J j dw�efl/rep traits, �
Nsl tttBtiitdttlLtut !td oft
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
Applicant Ce!'tWttttjons I hereby certify that I will Comply With the Provisions of the Kodiak Island Borough Code and that I
have the authority to certify this as the property owner, oras a representative of the property owner. l agree to have Identifiable
corner markers In place for verification of building setback (yard) requirements.
Attachments? , . List Other:
Date: 3 — 2,� -- / 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 WHENA BUILDING PERMIT IS REQUIRED.
** EXPIRATION: Any zoning compliance permit issued is subject to the some expiration, suspension, and revocation provisions as a
building permit issued for the same construction permit.**
CDD Staff Certification
Date: LA 1 gl ?o CDD Staff:
Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room # 104 -Main floor of Borough Building
Not Applicable
❑
$0.00
Less than 1.75 acres:
❑
$30,00
1.76 to 5.00 acres:
❑
560.80
5.01 to 40.00 acres:
Dq
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$90.00
40.01 acres or more.
❑
$120.00
After -the -Fact 2X the published amount
❑ $0.00
❑ $60.00
❑ $120.00
❑ $180.00
❑ $240.00 09-
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