LEITE ADD BK 1 LT 7 - ZCP 8/23/2010Kodiak Island Borough
Community Development Department
710 Mill Bay Rd. Rm 205
Kodiak AK 99615
Ph. (907) 486 - 9362 Fax (907) 486 - 9396
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Zoning Compliance Permit
A . 1tFprm - - •
Permit No. c_5kiL(213__
Property Owner / Applicant
Mailing Address:
Phone Number:
Other Contact email, etc:
Legal Description:
Street Address:
Use & Size of Existing Structures:
Description of Proposed Action:
The following information is to be supplied by the Applicant:
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Site Plan to include: Lot boundaries and lodging easements, existing buildings, proposed location of new construction, access
points, and vehicular parldng areas.
Staff Compliance Review:
Lot Area;
Front Yard:
Prleg Nan Rvw?
Plat / Subdivision
Requirements? ,
5
Does the project involve
an EPA defined facility?
ZONING:
Lot Width:
Rear Yard:
# of Reced Spaces:
Parc& No. easraasa.....„__
Bldg Height
Side Yard:
11-11
If YES, do you have an EPA Return Recel. pt of Notification?
0Perm1 11 1 ued u tit e 1 !ti s i d to B"
Coastal Policy
u d Case No.
Driveway
ay
P erm ft
Septic Plan
Approval:
Fire
M a rshall:
Consistent? Attachment?
Plat No. Bld'g Permit No.
Ap R 11cantCertification! f 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. t a gree to have identirldble
corner m arkers i n place for verification of building setback (yard) requirements.
Att achment57 / tJ List Other:
Date: v, 0 Signature;
/ / V
T his permit 11S only for the proposed p o ect as described by the applicant If there are any charges to the
proposed project,, including its intended use, prior to or taring Its siting., constructiop, or operation., contact
this office immediately to determine if further review and approval of the revised project is necessary.
E PI A TION A zoning compliance permit will become roll and void if building or use authorized by such permit is not
commenced within 180 days from the dote ofIssuance, or if the building construction or use is abandoned at any time after the
work is commenced, for o p eriod of 180 days. Before such work can be recommenced, u new permit must first be obtained. (
106. E VIradon. 19x97 UBQ per K18C 17.03.060,**
CDC] Staff CAM
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Date: - CDD Sta
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Pav ment Verification
Zoning Compliance Permit Fee
Payable in Cashier's office
Roam # 104
Fee Schedule
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Kodiak Island Coro -- - -
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Construction Disposal Depos
Payable in C ashier's ice
Roam # 104
Fee Schgdgfe
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To Whom It Ma Concem:
L, Katrina Re or, am authorizin JDA Enterprise LLC (John Arndt) to represent
me in matters concemin the construction of a sin famil residence on lot 7, 1412
Ismailov ST. If there are an q uestion please call 486 7703. Thank y ou for y our time.
Katrina Ref or Date-
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