NEW KODIAK BK 2 LT 1 - ZCP 5/20/2026Kodiak Island Borough Community
Development Department
710 Mill Bay Rd. Rm 205
n Kodiak AK 99615
Ph.(907)486-9363 Fax(907)486-9396
Zoning Compliance Permit
Permit No. 0:361
The following information is to be supplied by the Applicant:
Property Owned Applicant:
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Mailing Address:
—J 7
Phone Number.
C f11/
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Other Contact email, etc.:
—11 n
Legal Description:
Subdv:
Street Address:
Use 8 Size of Existing Structures:
llr..t a t_nt
Block: 2— Lod: I
Site Plan to include lot boundaries and avisting easements, existing buildings, proposed location of new construction, access points, and
vehicular parking areas, As Built required with all improvement changes.
Staff Compliance Review: Current Zoning AF)_
PROP_lD 54
Lot Area t 1 `� _. Lot Width: _� r�_ -_ -_ -_-
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Building Height:
Front Yard: `lv'� Rear Yard:
Sitle Yard:{�
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Parking plan? l a Of Req'd Spaces:
As Built:
Staff Compliance Reviev,'+Oles and Specific Plat! Subdivision Requirements:
�t
n - . _ _ .n - ..rnn';1 A $9 n I -C _ /-Y-L.l a . o u ,n:.n .. 9
1. r\ n P i^,. �. _ - . � a M1r\
uLd Case No. Plat No.
Building Permit No.
a . . ... ..... t�
w-irl, ern+'i Ikon l:an iU r'I:igC nNh
Driveway
Permit?
Septic Plan
Approval:
Fue
Marshall.
Proof of EPA notification provi i roquired)76
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a. c.'nnlne,uyl. r., _. cuLlefrrlofkegulnrrAAr6ulot Conln/ning F/oferlal/RA6Nl err= `'
, ,,.,,v,.,.�. rl,mnvnbadsuppwNngJlrucnrrC/nrembrra•.
notification
AoolicantCertification: I herebycertilythat Iwillcomplywiththe provisions of theKodiaklslandBoroughCodeandthat I
have the authoritytoceltifythisasthe propertyowner, orasarepresenlativeotthepropeltyowner. I agreetohaveidentiffable
comer markers in place for verification of building setback (yard)requirements-
Attachments? Ust Other:
Date: Print Name:
Date: Signature:
M%c f3P,0-'k-
Thu permit is only for the proposed project as des jibed by the applicant. If there are any changes to the
proposed project, including its intended use, prior o or during itssiting, construction, operation, contact this
office immediately to determine if further review id approval of the revised project is necessary.
THIS FORM DOES NOT AUTHORIZE CONSTR CTION WHEN A BUILDING PERMIT IS REQUIRED.
"EXPIRATION. Anyzoningeomplrancepermarssuearssr,
building permit issued for the sanreconstrucdou pernda '"
COD Staff Certification
nAieL\ V5I CDO Staff:
Payment V_dUrillion Zoning Compliance Permit Fee Payable in Cashiers Office Room/t104-Main floorof Borough Building
After -the -Fad 2X the published amount
Not App livable
1-1�$0.00
$0.00
Less (ban 1.75acres:
_C�(/$30.00
El
$6000
1.76 to S.00 am:
$60.00
Ei
$120.00
5.01 to 40.00 acres:
$00.00
o
$180.00
40.01 acresor more:
Ei $120.00
Ei
$240.00