USS 3098 LT 3A MILL BAY RD - ZCP 10/11/2023Kodiak Island Borough d
Community Development Departm
710 Mill Bay Road Room 202 l
Kodiak, Alaska 99615
Phone (907) 486-9363 Fax (907) 486-9396
bcurrie@kodiakak.us
Zoning Compliance Permit Permit No.
The following information is to be supplied by the Applicant
Property
Mailing Address:
G�
Phone Number: q p
Other Contact Email, etc..: 15
Legal Description: Subdv:
Street Address:
Use & Size of Existing Structures:
Description of Proposed Action:
o/
Lot:
14�
Applicant Certification: 1 hereby certify that 1 will comply with the provisions of the Kodiak Lsland Borough Code
and that I have the authority to certify this as the Property owner. or as a representative of the property owner. I
agree to have identifiable corner markers in place for verification of building setback (yard) requirements.
Title:
& - � Q /'
Print Name:
4M 65.4-
Date:
%() / C—>/2 -Z
Signature:
_
Site Plan to include lot boundaries and existing easements find buildings, proposed location of new construction,
access points, and vehicular parking area, As -Built required with all improvements changes.
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.
f
1 Staff Compliance Review
Does the Project involve E Proof of EPA notification provided (if required)?
Defined Facility? 'C so
Buildings, 'Required for all demos, renovations disturbing at least UO sq
Installations, instil ' s, and residences feet, 260 lineafeet, or 35 cubic ft of Regulated Asbestos Containing
With more n four (4) dwelling unites' Material (RACM) and for renovation that remove load supporting structure'
Expiration: Any Zoning Compliance Permit issued is subject to the same expiration, suspension, and revocation
provisions as a building permit issued for the same construction permit.
Current Zoning: - FI, ID Prop. ID: l (A2_q
yt
Lot Area: d\,� Lot Width: _ Building Height: Wy'
Front Yard: Q 14�:- Side Yard: Rear Yard:
Parking Plan: WLA Parking Spaces: k3(tp- As -Built:
Staff Notes: V'r� lylk y wA I,( �Uj _ a'S- 6VI, f-F :�u v Sidsivi�
Staff Certification
Date: CDD Staff Signatre:b «-3 a_Z:�
Payment Verification
After the Fact 2X the published amount
Waived:
$0.00
❑
$0.00
❑
Less than 1.75 Acres:
$30.00
$60.00
❑
1.76 to 5.00 Acres:
$60.00
❑
$120.00
❑
5.01 to 40.00 Acres:
$90.00
❑
$180.00
❑
40.01 Acres or more:
$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
10/11/2023 10:37AM
Remittance ID:
Kodiakl01123143557098Cur
Transaction ID:
311830329
LUCAS SMITH
1815 Mill Bay Road
KODIAK, Alaska 99615
United States
Visa - 2002
Approval Code: 04986D
Sale
Amount: $30.00
Lucas Smith
907-539-2746
CZ2024-016
1941 Mill Bay Road
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.