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MILLER PT 1ST BK 9 LT 3A - ZCP 11/29/2021Print Form Submit by Email r Kodiak Island Borough Community Development Department 641 710 Mill Bay Rd. Rm 205 Kodiak AK 99615 Ph. (907) 486 - 9363 Fax (907) 486 - 9396 htt o://w ww.kodiakak.Lis PST Zoning Compliance Permit Permit No. �ZaoZo2 - of 7 The following information is to be supplied by the Applicant: Property Owner/ Applicant: V0.1e-C-Q_ W 1 (k Mailing Address: 31431 An fou— t�SA Phone Number: 101- S'�Y-Cy�G Other Contact email, etc.: es5eq ya1t%VgjdA V AAr, ( can& Legal Description: Subdv: 4 I l� P+. s Block: l Lot: 3 Street Address: 34 31 A c%iolw- I Isa R. Ri7a of Fvicfinn Rtrnrf troc- Descript ion of ProposedAction: 2. sa ableckd ellargar ILL Pe- l SRLXYI q ka C) 1"IteNw MCICL Site Plan to include: lot boundaries and existing easements, existing buildings, proposed location of new constrt.:ction, access points, and vehicular parking areas. Staff Compliance Review: Curre nt zoning: Lot Area IN Z /o oo a "A- Lot Width: i Front Yard: 415 1 Prk'g Plan Rvw? V44 Rear Yard: �I PROP -ID a 0 17-y/ Bld'gHeight: go I Side Yard: !O' # of Req 'd Spaces: 3 Staff Comp fiance Rev i ew Notes and Specific Plat / Subdivi sion Requirem a nt s: 1 ( L CQma zka%% Ty � � �l � rlQ.� SOCK Le _ �j S � u.1� �v� [ l l`0�3CL Gd V1SJ � i k \ � 0.SS� S •y�9. 'C� CCaACA�H5N G \)Curt e92�e& .¢ . Subd Case No. Plat No. Bldg PermitNo. Does the project involve Proof of EPA notification provided (if required)? an EPA defined facility? *Requiredfiin• all demolitions, for renovations disturbing at least UO square •eorurnerci.rlbuildings, installcrtionslntililarvbases), - `' feel,260finearfeeror35cubicfeetgfRegulatedAshestosConteH,ir,gAlaterral{R9CAlt,and institutions (schools,hospitals) anti residences Wnli forrenovations that remove a load-supportings1ructure, member-. ruo,e duu,four(J)duelling units. No permit will beissued for such oroiects without oroof of EPA notification t Driveway Permit? Septic Plan Approval: Fire Marshall: AonlicantCertification: thereby certify thatl willcomply with theprovisions of the Kodiak IslandElorough Code and tha tl have the authority to certify this as the property owner, oras 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: 1( &q IZI Print Name: �(,�(e�•e� tk. Date: IL12,14 Signatur e: t This permit is only for the proposed project as described by the upplicturt. If there are aig changes to the proposed project, including its intended use, prior to orduring its siting, eonstructiotr, oroperation, contact this office immediately to determine if further review trod approval of'the revised project is necessary. THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED. 'EXPIRATION. Anvzoititigeotnplhint'L'pti-nlitlssllL'tlivslll)jeettotllesa"tee-l)irtltit)it,sitsl)ttlsi011,aitdrevoctitit)iipi'OVISIOtltitlsa building permit issued for the saineconstruction permit. *:, Date: CDD Staff: Payment Verification Zoning Compliance Not App licable Less than 1.75acres: 1.76 to S.00 acres: 5.01 to 40.00 acres: ayablerS Cashier's 40.01 acresor more: ❑ $120.00 Room It 104 - Main flcor of Borough Building After -the -Fact 2X t he p ubli hed amount $0.00 $60.00 $120.00 Fi $180.00 $240.00 Building Permit #: BZ2022-017 Physical Address of Permit: 3431 Antone Way Credit or void this transaction Velocity Payment System Version 2020-2 - Copyright © 2021 Govolution, LLC. • My Account • Logout Susan Zimmerman [szimmerman] • Dashboard • User Management • Payment Management • Online Reporting • IVR Call Metrics Online Reports Transaction Details General Information Transaction ID: 282643441 Tender Type: Credit Card Transaction Type: Authorization and Capture Remittance ID: Kodiakl12921171053274Cur Client Account Number: N/A Tax Amount: $0.00 Total Amount: $30.00 Transaction Date: November 29, 2021 01:13:38 PM AKST Parent Transaction: N/A Status: Success Fail Message: N/A Received Via: Virtual Terminal AVS Response: Y Approval Code: 07634D Transaction Posted by: bcurrie Credit Card Information Company: N/A Name on Card: Valen K Wilde Address Line l: 3431 Antone Way City: KODIAK State: AK ZIP Code: 99615 Country: United States Card Type: Visa Partial Card Number: 41 - 5058 Expiration Date: 4/2024 Custom Information Payment Application: Kodiak Island Borough Community Development Name: Valne Wilde Phone Number: 907-539-6456