AIRPARK BK 1 LT 7 & PTN USS 1396 - ZCP 8/9/2010Kodiak island Borough
Community Development Department
710 Mill Bay Rd. Rm 205
Kodiak AK 99615
Ph. (907) 486 - 9362 Fax (907) 486 - 9396
t-pt ://www.kodiakakus
Zoning Compliance Permit
PrintForm
Subrnit'by
Permit No. 2;zAQ,:z:LQL_y
Property Owner / Applicant:
Mailing Address:
Phone Number:
Other Contact email, etc.:
Legal Description:
Street Address:
Use & Size of Existing Structures:
The following information is to be supplied by the Applicant:
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Description of Proposed Action:
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Site Plan to include: Lot boundaries and existing easements, existing buildings, proposed location of new construction, access
points, and vehkular parking areas.
Staff Compliance Review:
Lot Area:
2)2
Front Yard:
Prleg Plan Rvw?
Plat 1 Subdivision
Requirements?
Does the project involve
an EPA defined facility?
ZONING: D
10015
Lot Width:
Rear Yard:
* of Req'd Spaces:
Parcel No
Bldg Height:
Side Yard:
--Oed5 Fix;
3 3
61)
If YES, do you have an EPA Return Receipt of Notification?
"Permit will not be is gyred until rerei t is submitted to KI13"
Coastal Policy Consistent? Attachment?
Subd Case No.
Driveway
veway
Permit?
Septic Plan ,
Approval:
Fire
Marshall.-
Plat Flo.
Bld'g Permit No.
App li cant rtific ti n: I hereby certify that 1 will comply with the provisions of th e Kodiak Island Borough Code and thatt
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.
Attachments List Other:
Efate: Signature:
Ur If'
This permit is only for the proposed project a described by the applicant. If there a any changes to the
proposed project, including its in tended use, prior to or during its siting, construction, or operatiom contact
this office immediately to determine if further review and approval of the revised project is necessary.
EXPIRATION,: A zoning compliance permit will become mull and void if the building or use authorized arc permit is not
commenced within 180 days from the date o or if the building construction or use is abandoned at any time, after the
work is commenced, for a period of 780 days. Before such work can be recommenced, a new permit must first be obtained. (sec.
f 06.4.4 Expiration, 1997 UBQ per KI C 17-03.060.
CDD Staff C ertification
Date: �l ° ��p CDD Staff
Payment Verification
Zoning Compliance Permit Fee
Payable in Cashier's Office
Room # 104
Fee Schedule
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