THORSHEIM LT 18 SUBLT 20A - ZCP 5/21/2026Kodiak 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. i Z a0d6 O35
The following information is to be supplied by the Applicant
Property Owner/Applicant: Re //A /114 Co alo n 2.n 1 / p .J
Mailing Address: P Q 6 D -A 779 A l=
Phone Number: (9 U 7 ) S/d' 6 - <-/ / e-/ / 6�, 01 i 1-5_ A t� 1AQ kk_-0 -CO
Other Contact Email, etc..:
Legal Description: Subdv: 77-.7 o !t s 4 "I' „X Block: / Lot: / e
Street Address:
Use & Size of Existing Structures: 17 d ,e / X42AA eS/ t
Description of Proposed Action: �f> A i n e h e cl
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 proper ty owner, o a representative of the property owner. I
agree to have identifiable corner markers in place far verification a dding setback (yard) req irements�f
14A/w//CN r�NeQ �O�"`�
Title: S1. P eX V1 s o Z Print Name: j 1,X Me C
Date: 6 d 6 Signature: l G Amy
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 far 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.
Staff Compliance Review
Does the Project involve EPA Proof of EPA no[i£ca[ion vided (if required)?
Defined Facility? `Commerical B logs, `Required for all demos, re ions disturbing at least UO sq
Installations, institutions, and r fences feet, 2601ineafeet, or 3 ubic ft of Regulated Asbestos Containing
With more than four (4) elling unites` Material (RACM) and for r, ation 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. If no building permit has
been pulled the expiration date is six (6) months from date of approval.
Current Zoning: :a -- nq C) Prop. ID:
Lot Area: QA Lot Width:Building Height: �=
Front Yard:_ Side Yard: Rear Yard:��
Parking Plan: n\ } J} Parking Spaces: As -Built: ip
Staff Notes: lA'), VtP1 (a_S- Iin'tli VtlitAiP4_4Vtx. +. Vln CVI&AAe_ in Oi t-2
Date: 3� 1(A
Payment Verification
Waived:
Less than 1.75 Acres:
1.76 to 5.00 Acres:
5.01 to 40.00 Acres:
40.01 Acres or more:
Staff Certification
CDD Staff Signature:
$0.00
$30.00
$60.00
❑
$90.00
❑
$120.00 ❑
After the Fact 2X the published amount
f$$0.00
60.00
$120.00 ❑
$180.00 ❑
$240.00 ❑
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PAYMENT DATE
03/18/2026
COLLECTION STATION
CASHIER
RECEIVED FROM
Rella Mae Corporation
DESCRIPTION
211 Thorsheim
Kodiak Island Borough
710 Mill Bay Rd.
Kodiak AK 99615
BATCH NO.
2026-00000163
RECEIPT NO.
2026-00000723
CASHIER
Teresa Medina
IIMFYTW=k•�
Zoning Compl
Zoning Compl
Payments:
ON
I Zoning Compliance Permit I
CZ 2026 035
Zoning Compliance Permit
Work Permit CZ 2026 035
Type Detail Amount
ffimmzs• •
$30.00
$30.00
Check 21786 $30.00
Check 21785 $30.00
Total Amount: $60.00
Customer Copy
Printed by: Teresa Medina Page 1 of 1 03/18/2026 10:08:01 AM