MONASHKA BAY BK 8 LT 4A - ZCP 11/15/2021Submit by Email
Kodiak Island Borough Community Development Department ------
710 Mill Bay Rd. Rm 205, Kodiak, AK 99615
Ph. (907) 486 - 9362 Fax (907) 486 - 9396 Print Form
httD:llwww.kodiakak. us
5--005
Applicant Information:
Property Owner/ Applicant:
Mailing Address:
Phone Number:
Other Contact email, etc.:
Agent & /or Surveyor:
Mailing Address:
Phone Number:
Other Contact email, etc.:
Subdivision Application
Kodiak Island Borough Code Title 16 n1�
PROP_ID o�7 7 �02
Property Information: Street Address: t 1-,'-7 CL t i,F ZJ
Current Legal Description(s):
Proposed Legal Description( s): S 2A' 1 f\)16` ,1 . LLB%/dZIS A f
Are you requesting a waiverof any subdivision requirement according to KiBC16.11 D. D 1 D? D Yes
No
Date: i 0
Date: C l 0
Print Name: KOP-- �6
Signature
I
-i10
Payment Verification Fee Payable in Cashi er's Office Room# 104 - Main floor of Borough Building l/
Waiver Plat per KIBC 1 6.10.050:
Abbreviated Plat per KIBC 16.30:
Preliminary Plat per KIBC 16.40 (maximum 12lots):
Preliminary Plat per KIBC 16.40 (13 or more lots):
Vacation per KIBC 1 6.60:
Date: Z10 Rod COD Staff:
D S15.00
$500.00
/O $500.00
O $500.00 + $50.00 per lot over 12
D $500.00 + plat fee Kodiak Island Borough
Finance Department
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NOV 10 2021