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ALEUTIAN BK 3 LT 18 - ZCP 5/5/2023Kodiak Island Borough Community Development Department 710 Mill Bay Rd. Rm 205 Kodiak AK 99615 J(2�Ck- Ph. (907) 486 - 9363 Fax (907)486-9396 Zoning Compliance Permit Ce(vn l nct'(l , CO(A Permit No. 01dDT5_(pz45 The followingr ri�nformation is�to, bI a supplied by the Applicant: n Property Owner/ Applicant: 0 k t v K G r R v Mailing Address: Phone Number: Other Contact email, etc.: Legal Description: Street Address: Use & Size of Existing Structures: .102 NOPLAk ST- koa<A-Ak yY6is qD7-51a 1 C747 Subdv: A-t- Kkva/V Dfo r Block: Lot: /n 3D2 PPPaaa -L�— �l 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: r-I _ n —I ] PROP_ID )LA Z�fip_ �__ Lot Width: �� Building Height: 0-0 / Lot Area: I Front Yard: 'Z 4-7 Rear Yard: �O' Side Yard: Parking plan? # Of Req'd Spaces: �+� As Built:es 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 fagility� *Required for ¢ll demo[itions, for renovations disturbing at leas[ UO square _ _ _ _ _ •commercialbuildings,' tallations(militarybases), feet,26011nearfeet, or35mbicfeetnfRegulated Asbestos ConlainingMaterialtRAOW, andfor institutions (school ospitals) and residences renovations thatremove a loadsupportingstmaurelmemberer. with more than r (4)dwel/ing units. No permit will be issued for such oroiecte_ without proof of EPA notification Driveway Permit? Septic Plan Approval: Fire Marshall: Annlicant Certification: I herebycertifythat I willcomplywith the provisions ofthe Kodiak lslandBoroughCode and that l have the authorityto certifythisesthe propertyowner, orasarepresentativeofthepropertyowner.I agree to haveidentiftable corner markers in place for verification of building setback (yard) requirements. Attachments? List Other: Date: 23 Print Name: Date: TIC 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 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. 'EXPIRATION. Anyzoning compliance permitissued issubjeet to thesameexpiradon, suspension, andrevocationprovisionsma building permit issued for the sameconstruction permit. ** COD Staff Certification" -- Date: \Y� CDDStaff: c c Payment Verification Zoning Compliance Permit Fee Payablein Cashier's Office Room/t104-Main floorof Borough Building After -the -Fact 2X the published amount Not App li cable $0.00 $0.00 Less than 1.75 acres: V$30.00 $60.00 1.76 to S.00 acres: ❑ $60.00 $120.00 5.01 to 40.00 acres: ❑ $90.00 ❑ $180.00 40.01 acresor more: ❑ $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 05/05/2023 03:50PM Remittance ID: Kodiak050523194723763Cur Transaction ID: 304903835 CURT CHRISTANSEN 14350 East Norman PALMER, Alaska 99645 United States American Express - 2001 Approval Code: 288732 Sale Amount: $30.00 Dena Ceron 907-841-7133 CZ2023-045 302 Poplar Avenue 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. -2 N L O N N o a m o N Q(D D U) m L t0 in -O C m a c C O . N L W N @ 3 N N N N d O 0 L O c p Y N t6 a,y CO c6 M a) 3 L P1 Y U N 0 m C N` ORR n ° � III Y VI �� p 0 •— N kQO / K VR!5 V �`. Cy-O m9 4L0L l`I yy 00q 'v ObC 6 yy TV O. On _ V+;d Ly, qy,o. �= a 3T�°n aoegw 4yCt° u Carty? ° 0L0 y •O gyOgy YOOCy �` oa �a3�a y �oEey ° O z00L�� E aamyC� n �• !l- 7 - d ti: LL. LQ O' =