RUSSIAN CRK BK 3 LT 7 - ZCP 6/22/2023Kodiak Island Borough Community
Development Department
710 Mill Bay Rd. Rm 205
Kodiak AX
(95
Ph. (!aI])433-9353 FaxFax (90])483-9396
Zoning Compliance Permit
Information is to be supplied
Property Owner/ Applicant: -j m imi 1 m
Mailing Address: t q i o Ar- A
Phone Number `q 0:7 31 �5-72-
Other Contactemail*0N etc.: ( 1#16k yhOON
Permit No. 87- �. *1- CXIS�
Legal Description: Subdv: VV(5i:
�511AINJ Gl'�Cc@L'.� Bloot, 3 La7
Street Address: i'8D W ix-LDW UncLC�
Use S Size of Existing Structures:
M
Site Plan or Mrf de lot boundaries and uisting easements, arisBng buildings, proposed locadon of new eonsouedon, access points, and
vehicular parking areas, As Bulk required with all improvement changes.
Staff Compliance Review: Current Zoning: R R ( PROP _'to` %
llf
Lot Area: / t^Q S Lot Wdih: / f .,.(rj Building Height: 31 f '
Front Yard: as✓ Rear Yard: Side Yard: /40&
Parking plan? #Of Req'd Spaces: As Built
Stag Compliance Review Was and Spedfic Plat / Subdivision Requirements:
kQJ ,t3 17ie nt Dare. UjiAk +I e. i•Stii to t,
Subd Case No. Plat No. Building PennilNo.
Does the project involve
an EPA defined facility?
wfthioiu(hour(4)d iak) and 1hVwrefidencer
wid man aan fur(9)dwelling wiv
Driveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
Proof of EPA notification provided (if required)?
•RequindfraR demolidom,for nnownoru durabing w I., Ua,Q .....
feet, 2601me het or35.bwfw FRW1.wd,46estas Conminiag Mwerial(RACW.. andfor
renowriom rkar remove a kmdrtu�r0ngarrucrvre/memberv.
notification
Aooiirant Cartifleation: Ihembycenifythat 1willcomplywiththe pmvisionsofdteKodiakWandBomughCodeandthat I
havetheauthonfytocer*thisasthepmpenyowner, orasampm"ntatfveofthepmpenyowner. I agreetohaveklentifiable
comer markers in place for verification of building setback (yard) requirements.
Attachments? List Other:
Date: 6 - 1 2 — Z24 3 Print Name: --J-A1rEJ i M- `Sy "
Date: 4-It — ZO Z 3 Signature: P,3-,t—
This permit is only for the proposed project as descplikedbthe applicant If there are any changes to the
proposed project, including its intended use, priort , or ring itssiting, construction, operation, contact this
office Immediately to determine if furtherreviewand approval of the revised project is necessary.
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED.
"EXPIRATION. Anywningcompliancepermhissuedfssubje tothesameepimfion,suspensionandrevocadonprovisiomma
buadingpermit issuedfor the sameconmucdon permit "'
Date: - :+3_ CDDSIaff:
Pavment Vindication Zoning Compliance
Not APp licable
$0,00
Lessthan 1.75 acres:
�$00.00
1.76 to S.00 acres:
El
$60 00
5.01 to 40.00acres:
$90.00
40.01 acresor more:
❑
$120,00
Cashiers Office Room It 104-Main floor of Borough Building
After -the -Fact 2X the published amount
❑ $0.00
El $60.00
❑ $120.00
$180.00
❑ $240.00
r
PAYMENT DATE
06/22/2023
COLLECTION STATION
CASHIER
RECEIVED FROM
JAMES PETERSON
DESCRIPTION
11918 GARA DR
Kodiak Island Borough
710 Mill Bay Rd.
Kodiak AK 99615
BATCH NO.
2023-00000384
RECEIPT NO.
2023-00001127
CASHIER
Teresa Medina
•• I RECEIPT DESCRIPTION SIM, M.TTOW97MMOOMM
Zoning Compl Zoning Compliance Permit $30.00
BZ 2023 045
Payments: Type Detail Amount
Check 5717 $30.00
Total Amount: $30.00
Customer Copy
Printed by: Teresa Medina Page 1 of 1 06/22/2023 01:41:11 PM
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