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USS 3218 COMM TR 2 OF TR S-5A-1 - ZCP 11/16/2021Kodiak Island Borough Community Development Department Subm;tbyEmail 710 Mill Bay Rd. Rm 205, Kodiak, AK 99615 Ph. (907) 486 - 9362 Fax (907) 486 - 9396 D A n Farm http://www.kodiakak.us (� Applicant Information: Property Owner / Applicant: Mailing Address: Phone Number: Other Contact email, etc.: Agent &/or Surveyor: Mailing Address: Phone Number: Subdivision Application Kodiak Island Borough Code Title 16 ► Kodiak island Borough pRg3Pent Mil Bay Plaza Association, LTD 218 Center Ave. #B Kodiak, AK 99615 907-486-3100 (George Reith) georger@kouiakcpa.com Willman Land Surveying Bob Brodie P.O. Box 8545, Kodiak, AK 99615 202 Center Ave. Ste. 101, Kodiak, Ak 99615 907-942-4866 907-486-2000 Other Contact email, etc.: t.willman@willmanlandsurveying.com brodie@eagle.ptialaska.net Property Information: Street Address: 170 Von Scheele & 2685 Mill Bay Rd. Current Legal Description(s): Commercial Tract 1 & 2, of Tract S-5A-1, being a portion of U.S. Survey No. 3218, U.S. Survey 3467 and U.S. Survey 3469, plat 93-34, Kodiak Recording District, Kodiak, AK Proposed Legal Description(s): Commercial Tract 1 A, 2A, 3, & 4, being a portion of U.S. Survey No. 3218, U.S. Survey 3467 and U.S. Survey 3469, Kodiak Recording District, Kodiak, AK n Yes lire you requesting a ;.Give; vl anysuodivision requirement according to KIBC 16.710.010? 0 No /nicc 44Y fi/f?— +Assoe Z— 6 �'S / Date: z Zo Z Signature: Koa �,4ic. %�-WSe i�ES�z/ve. ',-7-S Payment Verification Fee Payable in Cashier's Office Room # 104 - Main floor of Borough Building Waiver Plat per KIBC 16.10.050: Abbreviated Plat per KIBC 16.30: Preliminary Plat per KIBC 16.40 (maximum 12lots): Preliminary Plat per KIBC 16.40 (13 ormore lots): Vacation per KIBC 16.60: Date: ] 0 CDC ❑ $ 75.00 ❑ $500.00 $500.00 ❑ $500.00 + $50.00 per lot over 12 ❑ $500.00 + plat fee LP 3 +Lw`.. .. ...._.... _.. is k1� Ja�i�t •'y;�6;t ..� '� PAYMENT DATE Kodiak Island Borough 11 /15/2021 710 Mill Bay Rd. COLLECTION STATION Kodiak, AK 99615 CASHIER RECEIVED FROM KODIAK PROPERTIES INC DESCRIPTION SUBDIVISION FEE PID 16353+16354 170 VON SCHEELE AND 2685 MILL BAY RD BATCH NO. 2022-00000126 RECEIPT NO. 2022-00000466 CASHIER Teresa Medina Subdivision Fee Subdivision Fee $500.00 SUBDIVISION FEE PID 16353+16354 170 VON SCHEELE AND 2685 MILL BAY RD Payments: Type Detail Amount Check 1260 $500.00 Total Amount: $500.00 Customer Copy ------------------ .___ Printed by: Teresa Medina Page 1 of 1 11/15/2021 03:59:00 PM s