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LEITE ADD BK 7 LT 17 - ZCP 10/7/2021Kodiak Island Borough Community Development Department 710 MITI Bay Rd. Rm 205 Kodiak AK 99615 Ph. (907) 486 9363 Fax (907) 486 9396 http://www.kodiakak.us Zoning Compliance Permit Property Owner / Applicant: Mailing Address: Phone Number: Other Contact email, etc.: Legal Description: Street Address: Use & Size of Existing Structures: The following information is to Po oo k 1-1, , H15 - L111 9- 7 o-�L.. Subdv: l- e'l le A V, Print Farm Submit lay Emali 0 Permit No._�, A plicant; 1 7 Description of Proposed Action: . e d — - L Lot: j z Site Plan to include: Cot boundaries and existing easements, existing buildings, proposed location of new construction, access points, and vehicular parking areas. Staff Compliance Review: Current zoning: PROP ID }s'y Lot Area: a Lot Width: ©ld'g Height; 3 Front Yard: Rear Yard: ,�� Side Yard: S�1 Prk'g Plan Rvw7 # of Req'd Spaces: 3 Staff Compliance Review Notes and Specific Plat / Subdivision Requirements: Subd Case No. Plat No. Bld'g Permit No, Does the project involve an EPA defined facility? "Commerdal buildings, installations fmilitap bases), institutions (schools, hospitals) and residehmsmu th more than four (4).dw6il g uilits..A i i Driveway Permit? Septic Plan Approval: Fire Marshall: Proof of EPA notification provided (if required)? •Required for all demolitions, for renovations disturbing of least 160 square leer, 20 linear feet or 35 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 wi hout Proof of EPA notification Applicant Certification: ihereby certify that will comply with the provisions of the Kodiak Island Borough Code and that 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: 5 Signature: _44�? This permit is only for the proposed project as described by the applicant. If there arcs 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 15 REQUIRED. ** EXPIRATION: Anyzoning 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: / O _ `_ e 1 CDD Staff:. Payment Verification Zoning Compliance Permit ree Payable in Cashier's Office Room # 104 Main floor of Borough Building After the -Fact 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 907486-9323 10/08/2021 11:27AM Remittance ID: Kodiak I00821152219657Cur Transaction ID: 279743259 KATHRYN PATITUCI PO Box 1511 KODIAK, Alaska 99615 United States Visa - 8730 Approval Code: 008925 Sale Amount: $30.00 Kathryn Patitucci 415-419-7302 C22022-020 1423 Yanovsky 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. hNne•lh�nhrihmaumo�l rnmlarimi�74n�lio4a4AmncP3Q57HrancarR�+nalrareinl/'lPa.rma NII1�9707d�944 hJ1 :is