RUSSIAN HILL LT 8A - ZCP 5/20/20224
Kodiak Island Borough
, .omrnunity Development Departme,
710 Mill Bay Rd. Rio 205
Kodiak AK 9%15
Ph(907) 480.9363 I'm (907)480-9390
Zoning Compliance Permit Permit No. f�Z ZCt Z.Z�
the following information ,s to be supplied by the Applicant
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Legal Descnption Subdv i�.� ���'-i�'-`1l L- Block. Lot �A
Street Addie
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Cir-
Site Plan In in, 6r J: lul hrmunlnrits and e%iUing easenienls, existing huildingv, proposed location ofnrr. n,mrmt liorr, a(.en points, wiet
rehindur purging areas.
Staff Compliance Review: Current 7orting
Holm-)
-) l20' 3s I I
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Parking plans If Of Req'd Spaces
Review Notes and Specific Plat ! Subdivision Requaeme, I.,
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i?l P4✓7 $1z 4 r t a,m xW cu Klrla�-_.
,od Case No Plat W bmd
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Does the project involve ,1V
an EPA defined facility? 1V
.Door. r. rid Pud lnr4s. mnofla ..<n Imi6wn bassi
m.rrrun,ms (r<h.r,l, hogntabl and""d n..,
wrh 141.h,,V... c ,nrr,
Driveway
Permit')
Septic Plan
Approval
Fire
Marshall
Pmnf ,,f L i ' A r. ;! P c,- wo pi )v.dee I if required)?
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No permit will be issued for such projects without proof of EPA
notification
Applicant Certification: I horebycertify that I willcomply with the provisions of the Kodiak lslandBorough Code andthat I
have the authority to certifythis as the property owner, orasarepresentativeofthepropertyowner I agree to have identifiable
comer markers in place for verification of building setback (yard) mquimments.
Attachments?
Date
Date Sj _ 1,4L•zZ
List Other
Print Name CriSi"'1 ('�(k
Position Title ICY O
Signature L—
This permit is onhv for the proposed project as described by the applicant. If there are an), changes to die
proposer/ project, including its intended use, prior o or during its siting, construction, 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 IS REQUIRED.
FWPIR4 T10A': Any zoning compliance pernriths-tted is subject to the smaeezpiratinn, suspension, and revocation provisions as a
building permit issuer/ jar the sameconstruction permit. •'
Date 5-A07 ZZ CDDStaff
Payment Verification Zoning Compliance Permit Fee Payable in Cashei's Office Room 4 104 - Main floor of Bot ougn Building
After -the -Fact 2X the published amount
Not App li cable $0 00 EJ $0 00
Lessthan 175 acres vS $3000 D $6000
1 76 to S 00 aces
❑
$60 00
❑
$120 00
501 to 4000 acres
El
$9000
F1
$18000
40 01 acresor more
Ei
$120 00
❑
$240 00
Transaction Receipt - Success
Kodiak Island Borough
Kodiak Island Borough Community Development
MID:200006988265
710 Mill Bay Road
Kodiak, AK 99615
907-486-9323
05/20/2022 01:51PM
Remittance ID:
Kodiak052022174941668Cur
Transaction ID:
290101776
GARRETT WOOD
PO Box 1696
KODIAK, Alaska 99615
United States
Visa - 4387
Approval Code: 045633
Sale
Amount: $30.00
Garrett Wood
907-942-0224
BZ2022-042
12304 South Russian Creek Rd
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.
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