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BELLS FLATS BK 5 LT 1A - ZCP 6/12/2023�fr Kodiak Island Borough Community Development Department ✓ 710 Mill Bay Rd. Rm 205 R6W Kodiak AK 99615Ph.(907)486-9363 Fax(907)486-9396 Zoning Compliance Permit Permit The following information is to be supplied by the Applicant: Properly Owner/ Applicant: M-0- sIakwt l k Mailing Address: M V'1 C i\ 0.K-- Oy t f- Phone Number: Sn 4% \�JV Other Contact email, etc.: I,}k c li QJLt.Ie.k( -70 j, 0i3 mc- it t G oyv` - Legal Description: .�7 t Sub'\dv: r-VJIIJ r IQ iS ,A. Block: 5 Lot 1 Street Address: I_I V N Chl At ck1lL 7e `vim Use R Size of Existing Structures: Z b'fo(L N 5LN&ICC F�rnTt `I 2`it�\R' Y- 2l0� Description of Proposed Action: 21\a v oidd�iu�` rp)ru\ q a y r�ar/� as Uc 1 P. r\F-L Vie! IL i7 >C 18 / Pic,( b< o,<�_ �;��znkfuv�. ��'�"i1�i_ Q.x-�S�9e,c�S�c'•c�10-: Cc���s�A� ,rr`'dtr,e�".. , Site Plan to include lot boundaries and existing easements, existing buildings, proposed location ojnew construction, access points, and vehicular parking areas, As Built required with all improvement changes. Staff Compliance Review: Current ( zoning: PROP 2121 - I'1 .'1v - ZZ Z�$ Lot Area: - In / Lot Width: Building Height: Front Yard: Z15 Rear Yard: a o Side Yard: Parking plan? %j (A a Of Req'd Spaces: e5 As Built: GcJ `J Staff Compliance Review Notes and Specific Plat / Subdivision Requirements: Subd Case No. Plat No. Building Permit No. Does the project involv Proof of EPA notification provided (if required)? an EPA defined facil ? *Requiredfor alldemolitions,for renovations disturbing at least UOsquare_____ •commercialbuildin ,nstallations(militarybases),.. feet, Z601inearfeet, or35cubicfeetofRegu(ated Asbestos CantaircingMaterial(RACMJ, and for institutions (schoo .hospitals) and residences renovations thatremoveaload-supportingstructurelmemberer. with more than ur (4)dwelling units.- - :.y No permit will be issued for such projects without proof of EPA_ «.: notification Driveway Permit? Septic Plan Approval: Fire Marshall: Anolicant Certification: I herebycertify that l willcomplywiththe provisions ofthe Kodiak Island Borough Code and that I have the authority to certifythisas the propertyowner, orasa representativeof the propertyowner. I agreetohaveidentirtable corner markers in place for verification of building setback (yard) requirements. Attachments? List Other: Date: v Vie f) Zo Print Name: 7 t I ltoc k % t`4`� F Date: , t) o e 71 2 on 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: Anyzoningcompliancepermitissuedissubjectto thesameexpiration,suspension, andrevocationprovisionsasa building permit issued far the sameconstruction permit ** COD Staff Certification O Date: CDD Staff: Payment Verification Zoning Compliance Permit Fee Payable in Cashier's Office Room It 104- Main floor of Borough Building After -the -Fact 2X the published amount Not App li cable ❑ $0.00 $0.00 Less than 1.75 acres: 0111�$30.00 $60.00 1.76 to S.00 acres: n $60.00 $120.00 5.01 to 40.00 acres: $90.00 $180.00 40.01 acresor more: n $120.00 Fi $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 06/12/2023 09:30AM Remittance ID: Kodiak061223132846836Cur Transaction ID: 306661918 ALEX BLACKWELL 11019 Chiniak Drive KODIAK, Alaska 99615 United States Visa Debit - 6055 Approval Code: 644878 Sale Amount: $30.00 Alex Blackwell 5174101350 BZ2023-041 11091 Chiniak Drive 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. 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