ATS 49 TR N-20B - ZCP 11/28/2022... Kodiak Island Borough Community
Development Department D e
710 Mill Bay Rd. Rm 205
j n Kodiak AK 99615 (I az1 as D
Ph. (907) 486 - 9363 Fax (907) 486 - 9396
Zoning Compliance Permit Permit No. a
The following information is to be supplied by the Applicant:
Property Owner/ Applicant
Mailing Address: tl� ruj aC%{ - _ ,TT 1)—`t•;_1 jL �, •��
Phone Number:
Other Contact email, etc.:
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Legal Description: Subdv: (A—A71 IM.__lrwz- Block: Lot }j -•fpG
Street Address: ,?7 -4 �1` a
Use & Size of Existing Structures: II FBI
Description of Proposed Action:
M:e f'0.jr� ' P Li�L�f i!' .P-1z"N'� � , �'`•' Il- s �' 1�- i LZ\',�. isfY—i' <Z� L .ice:
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Site Plan to include lot boundaries and existing easements, existing buildings, proposed location of new construction, access points, and
vehicular parking areas, As Built required with all improvement changes.
Staff Compliance Review: Current Zoning:
Lot Area:
Front Yard:
Parking plan?
Rear Yard:
p Of Req'd Spaces:
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
PROP ID
Building Height:
Side Yard:
As Built:
Subd Case No. Plat No. Building PernitNo.
Does the project involve Proof of EPA notification provided (if required)?
an EPA derined facility? "Requiredfor all demolitions, for renovations disturbing at least UO square _ __ _ _
icommtions ibi, dings, nstgl t(pni(mitidWy!!dy'es), feet, 260linearfeer, or35 cubiefee t ofRegu lated Asbestos Containing Material (RA CM), andfor
institutions (s'c !s osp' LsJ and resilm renovations that remove a loadsupportingstrecturel memberer.
with more A d elling.units. - Ito permit will he issued for such projects without proof of EPA
notifiration
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
AnolicantCertifieation:Iherebycertifythat Iwiltcomplywiththe provisions ofthe Kodiak lslandi3orough Code andthat I
have the authorityto certifythisas the propertyowner, orasarepresentativeofthepropertyowner. f agree to haveidentiflable
corner markers in place for verification of building setback (yard) requirements.
Attachments? i l
iarft_i� PO4v:tS�- Pr ill Other.
Dare: ( .. 'f /G Print Name: ✓- '�'`�
Date: ILIr'l( 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: Anyzoning conipliancepermitissuedissubject to thesameexpiration, suspension, andrevocationprovisions asa
building permit issued for the sameconstruction permit **
GOD Staff Certification �
Date: 1t b�daa CDDStatf:
Payment Verification Zoning Compliance Permit FeePayableinCashier's OfficeRoomlt104-MainfloorofBorough Building
After -the -Fact 2X the published amount
Not App It cable $0.00 ❑ $0.00
Less than 1.75 acres:
mr
$30.00
❑
$60.00
1.76 to S.00 acres:
Ej
$60.00
❑
$120.00
5.01 to 40.00 acres:
$90.00
$180.00
40.01 acresor more:
n
$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
11/28/2022 10:08AM
Remittance ID:
Kodiak112822140505526Cur
Transaction ID:
297963246
KEVIN KRAMER
517 Shelikof Street
KODIAK, Alaska 99615
United States
MasterCard - 3869
Approval Code: 077642
Sale
Amount: $30.00
Silver Bay Seafoods, LLC
9079821420
CZ2023-022
517 Shelikof Street
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.