MILLER PT 1ST BK 6 LT 9C - ZCP 11/30/2023p4w
Kodiak Island Borough
Community Development Department
710 Mill Bay Road Room 202
Kodiak, Alaska 99615
Phone (907) 486-9363 Fax (907) 486-9396
bcurrie@kodiakak.us
Zoning Compliance Permit Permit No. BzZo7j-4—CYF
The following information is to be supplied by the Applicant
Property
Mailing A
Phone Ni
Other Contact Email, etc..:
Legal Description: Subdv:
Block: (A Lot: —l' r-
Street Address: oC I/ (`
Use & Size of Existing Structures: 2 1d Y 52) 1 l'Ck�tei—
Description of Proposed Action:
Applicant Certification: I hereby certify that I will comply with the provisions of the Kodiak Island 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: Print Name:
Date: Signature/ -
Site Plan to include lot boundaries and existing easemer`ts anti buildings, proposed location ofnew construction,
access points, and vehicular parking area, AX-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 iffurther review and
approval of the revised project is necessary.
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING
PERMIT IS REQUIRED.
4 C1t6,
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Staff Compliance Review
Does the Project involve EP Proof of EPA notification provided (if required)?
Defined Facility? `Com cal Buildings, `Required for all demos, renovations disturbing at least UO sq
Installations, instRution nd residences feet, 260 lineafeet, or 35 cubic it of Regulated Asbestos Containing
With more than r (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: K Prop. ID:
Lot Area: 'I , ,j .. 030 Lot Width: IQU Building Height: c )
Front Yard: Side Yard: Rear Yard: ) CY
Parking Plan: 01 Ar Parking Spaces: Q1 a, As -Built: K)(,A
Staff Notes:)e y-'e n Q n { Yl h. o ek In oU " Dt_✓ c-,(
of p-U X `I y(n �v
Date:
Waived: $0.00
Less than 1.75 Acres: $30.00
Staff Certification
CDD Staff Signature:
1.76 to 5.00 Acres:
$60.00 ❑
5.01 to 40.00 Acres:
$90.00 ❑
40.01 Acres or more:
$120.00 ❑
After the Fact 2X the published amount
$0.00 ❑
$60.00 ❑
$120.00 ❑
$180.00 ❑
$240.00 ❑
PAYMENT DATE
11 /30/2023
COLLECTION STATION
CASHIER
RECEIVED FROM
JEREMY RUESINK
DESCRIPTION
BZ-2024-28 - 322 LILLY DR.
Kodiak Island Borough
710 Mill Bay Rd.
Kodiak, AK 99615
BATCH NO.
2024-00000159
RECEIPT NO.
2024-00000586
CASHIER
Cashier
• •RECEIPT DESCRIPTION•LIT67M
Zoning Compl Zoning Compliance Permit $30.00
BZ-2024-28 - 322 LILLY DR.
Payments: Type Detail Amount
Check 2721 $30.00
Total Amount: $30.00
Customer Copy
Printed by: Cashier Page 1 of 1 11 /30/2023 10:44:56 AM