T23S R20W TL 3301 AFOG LOG CMP - ZCP 5/27/2022Kodiak Island Borough
Community Development Department
710 Mill Bay Rd. Rm 205 d D
Kodiak AK 99615
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
Zoning Compliance Permit Permit No. 18Y.90A9- ow
Property Owner/ Applicant:
Mailing Address:
Phone Number:
Other Contact email, etc.:
Legal Description:
Street Address:
Use kSize of Existing
Subdv: I %_-� J A 20 (,/ Block: Lot:
Description of Propos AJ9 pn: ' - f
all S I b ew M9dk/11r kl0kS ivlgl lkf1 IDCO
tke�rc re V I Wf- e ce mobde Vie, c 5 W, it cmaaec
t ki i r c le CA I .S
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Site Plan to include lot boundaries and existing easements, existing buildings, proposed location ojnew construction, access points, and
vehicular parking areas.
Staff Compliance Review: Current zoning: (� PROP_IDtZ3
7
lig
Lot Area: MIS►, h Y..L Lot Width:Building Height: Max Got
Front Yard: N LJ Rear Yard: L S 1 Side Yard: �S I
Parking plan? # Of Req'd Spaces: 8 '
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
Subd Case No. Plat No. Building PermitNo.
Does the project involve Proof of EPA notification provided (if required)?
an EPA defined facilit 'Requardfor all demolitions, for renovations disturbing at least UO square
•commercialbuildin stallationsinilitarybases). feet.2601inearfeet, or35cubicfeetofRegulatedAsbestos Containing MateriallRACM), ardfor
instiwionsischo s, hospitals) andresidences renovationsthairemovealmd-sipportingstructurelmemberer.
with more tha our (4)dwelling rmitr. No permit will be issued for such oroierts without proof of EPA
notification
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
AnnlicantCartification: Iherebycertifythat lwillcomplywiththe provisions oftheKodiakislandBomughCodeandthat I
have the authority to certifythisasthepropertyowner, orasarepresentativeofthepropertyowner.I agreeto have identifiable
comermarkersinplace for verification ofbuilding setback (yar) require ents.(' n
List Other /�� (D",Y-I��','•'C'e"tl
Attachments? S 1 } _ if f4if j�] Print Name: /`�IQ SV /� k�c1 r �
Date: 5-2 C_b 22- Position Title: V��/ 6t,��] 0 `- a f1 CJ��i eJ
Signature:
This permit is only for the proposed project as described by the applicant. If there are any changes to the
proposed project, including its intended use, prior to or during iissiting, 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.
**EXPIRATION. Anyzoningcompliancepermitissuedissubjecttothesameexpiration, suspension, andrevocalionprovisions asa
building permit issuedfor the same construction permit. **
COD Staff Certif *cation
Date:r r err
Payment Verification Zoning Compliance Permit Fee Payablein Cashier's OfficeRoom It 104-Main floorof Borough Building
After -the -Fact 2X the published amount
Not App licable
❑
$0.00
❑
$0.00
Less than 1.75 acres:
Ei
$30.00
❑
$60.00
1.76 to S.00 acres:
❑
$60.00
❑
$120.00
5.01 to 40.00 acres:
LJ
$180.00
40.01 acresor more:
/�$90.00
r.�r $120.00
n
$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
05/27/2022 02:39PM
Remittance ID:
Kodiak052722183607947Cur
Transaction ID:
290456079
NATASHA HAYDEN
3909 Arctic Blv
ANCHORAGE, Alaska 99503
United States
Visa - 2092
Approval Code: 034293
Sale
Amount: $120.00
Afognak Native Corporation
907-481-2117
BZ2022-044
T23S R20W
Service Fee: $3.00
Service Fee Type: Dual Transaction
Total Amount: $123.00
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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