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USS 3098 LT 3A MILL BAY RD - ZCP 2/13/2024Kodiak 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. (,17_g 9n, The following information is to be supplied by the Applicant Property Owner/Applicant: Mailing Address: {� Phone Number: Other Contact Email, Legal Description: Subdv: _ Street Address: Use & Size of Existing Structures: kLa/ ,7t7. Block: Lot: Description of Proposed Action: A ew a ,./ C_ 3 w f i> c� 07 �dlJfa 1 z loD! C a 1 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: p ev V�_� Print Name: 41,1 c ems) - Date: Signature: Site Plan to include lot boundaries and existing easements and buildings, proposed location ofnew 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 iffurther review and approval of the revised project is necessary. THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT IS REQUIRED. Does the Project involve EPA - Defined Facility? 'Commerical Buildings, Installations, institutions, and residences With more than four (4) dwelling unites` Staff Compliance Review Proof of EPA notification provided (if required)? `Required for all demos, renovations disturbing at least UO sq feet, 260 lineafeet, or 35 cubic ft of Regulated Asbestos Containing 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: O. �(% Lot Area: 1� Front Yard: t,,) til,- Parking Plan: Lot Width: IV(r Side Yard: N11CL Prop. ID: JUNO Building Height: ` Rear Yard: IKZ1 4 Parking Spaces: (Q[L As -Built: M li,* YT9t,wautL na,on- ( - .. Staff Certification Date: a I r5j of CDD Staff Pavment Verification After the Fact 2X the published amount Waived: $0.00 ❑ $0.00 ❑ Less than 1.75 Acres: $30.00 kr $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 02/13/2024 11:19AM Remittance ID: Kodiak021324151738502Cur Transaction ID: 316744071 LUCAS SMITH 1815 Mill Bay Road KODIAK, Alaska 99615 United States Visa - 0667 Approval Code: 09039D Sale Amount: $30.00 Lucas Smith 907-539-2746 CZ2024-027 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.