USS 3098 LT 26A MILL BAY RD - ZCP 8/1/2022Kodiak Island Borough
��••,� Community Development Department
n 710 Mill Bay Rd. Rm 205
Kodiak AK 99615
Ph.(907)486-9363 Fax(907)486-9396
Zoning Compliance Permit Permit No. c-E Zb &Z, -b( e
The following information is to be supplied by the Applicant:
Property Owner/ Applicant:
Mailing Address:
Phone Number:
Other Contact email. etc.:
Legal Description: Subdv: ()
Street Address: 1 l b
Use & Size of Existing Structures: 1 y�
l nn. A-D . � 1A V
Description of ProposedAction:
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Block: Lot: i7.6 O�
Site Plan to include lot boundaries and evicting easements, existing buildings, proposed location of new construction, access points, and
vehicular parking areas.
Staff Compliance Review: Current zoning: 1 PROP_ID 6 2 q
Lot Area: 200 2-4 Lot Width: D Building Height: V, 0c
Front Yard: a C Rear Yard: /O l f Side Yard:
Parking plan? J # Of Req'd Spaces: 3 sP.4-co).
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
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. �-�/S/tcl�f eticca.�C Reyv,;e.,k�ti .
Does the project involve Proof of EPA notification provided (if required)?
an EPA defined facility? •Required for all demolitions, far renovations disturbing at least UO square .....
•commercialbuildings,installationstmilitarybases), feet, 260 linearfeet, or35cubicfeetofRegulatedAsbestosContainingMalenal(BACM), andfor
institutions (schools, hospitals) and residences renovations thatremowa load-suppartingstmctumlznembere..
with more than four (4)dwelling units. No permit will be issued for such proiects without nroof of EPA
notification
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
Applicant Certification: I herebycertifythat l willcomplywith the provisions of the KodiakisiandBorough Codeandthat I
have the authority to certifythisas thepropertyowner, orasareprosentativeofthepropertyowner.I agreetohaveidentifiable
comer markers in place for verification of building setback (yard) requirements.
List Other:
Attachments? Print Name: V,ny� 1 , �1 Vh2 b G a 1y-p—
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Date: ( r a Position Title: tx&A tK.d1.y, p.,L-,
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Signature:
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This permit is only for the proposed project as described by the applicant If there are any changes to the
proposedproject, including its intended use, prior to or during itssiting, 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. Anyzoning compliancepermitissuedissubject to thesamee piralion,suspension, andrevocationprovisionsasa
building permit issued for the sameconstruction permit. **
Date: 7o c )CDDStaff:
/ \ /.
Payment Verification Zoning Compliance Permit Fee Payablein Cashier's Office Room It 104- Main flgorof Borough Building
Not App livable
Less"than 175 acres:
1.75 to S.00 acres:
5.01 to 40.00 acres:
-El
$0.00 -
❑
$30.00
$60.00
❑
$90.00
40.01 acresor more: ❑ $120.00
After -the -Fact 2X the published amount
$0.00 -. ..
$60.00
... O
$120.00 . j •..,.
•
$180.00
❑
$240.00
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US Survey
Lot 26A
11,978 sf
Mill Bay Rd
70.0'
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110 Bancroft
Kodiak, AK
99615
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US Survey 3098
Lot 26B
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Utility
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65.0'
110.12' — N 38052'00"E
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PAYMENT DATE
07/14/2022
COLLECTION STATION
CASHIER
RECEIVED FROM
JAMES CLIFFORD COLE
DESCRIPTION
110 BANCROFT DR
Zoning
Kodiak Island Borough
710 Mill Bay Rd.
Kodiak, AK 99615
CZ 2022 064
Payments: Type Detail Amount
Check 329 $30.00
Customer Copy
Total Amount:
BATCH NO.
2023-00000017
RECEIPT NO.
2023-00000052
CASHIER
Teresa Medina
Printed by: Teresa Medina Page 1 of 1 07/14/2022 02:48:53 PM