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LEITE ADD BK 2 LT 16A-1 - ZCP 7/23/2026Kodiak 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. LZ?43Z'T - C7vZ The following information is to be supplied by the Applicant Property Owner/Applicant: Ke,'66 l"lolmes Mailing Address: 1112,4 ALL,n RJ Koo1 alc _ Ilk i9 615 Phone Number: 9N-996 -2YA11 Other Contact Email, etc..: Legal Description: Subdv: L-R-k }p, AM Block: Lot: Street Address: IfI14 /yrfryo,7 t?o% lio4ol, /llr 'Mlt Use & Size of Existing Structures: ZS"X 20' Description of Proposed Action: zC' c 32' 2car- goa ye Ld /61 cotIly 2.7' lie, at r,�i` &4- Fo, �IPi so w/ u r2. Applicant Certification: I hereby certify that I will comply with the provisions of the Kodiak Island Borough Code and that 1 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: Date: 2/10/2 C Print Name: Ke, iA //lM eS Signature: "/ Site Plan to include lot boundaries and existing easements and buildings, proposed location of new 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. /f 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? `Commeri Buildings, Installations, institutions, and idences With more than four (4) elling unites` Staff Compliance Review _ Proof of EPA noti5 ton provided (if required)? `Required for all demos, r ovations disturbing at least UO sq feet, 260 lineafeet, or 3 ubic ft of Regulated Asbestos Containing Material (RACM) and for ren 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. Current Zoning: R — +, s Prop. ID: I Lot Area: i ZLX--)bk Lot Width: Building Height: <'>�:7 t Front Yard: 'L- • Side Yard: r;� Rear Yard: Parking Plan: �j e> Parking Spaces: 3 As -Built: Staff Notes: Date: —I 1 0 Payment Verification Staff Certification CDD Staff Signature: Waived: $0.00 ❑ / Less than 1.75 Acres: $30.00rJf 1.76 to 5.00 Acres: $60.00 ❑ 5.01 to 40.00 Acres: $90.00 ❑ 40.01 Acres or more: $120.00 ❑ After the Fact 2X the published amount $0.00 ❑ $60.00 ❑ $120.00 ❑ $180.00 ❑ $240.00 ❑ 03-30-2007 08:02 PLkWALFEPLTY 9074VZ674 PALM HORIZON LAND SURVEYING INC h- BOX 194S GODIAX, AL-,M W613 (907) 406. 6506 AS - BUM SURVEY _ 1 4. b unlly ,h+r 1 ha• n<rrd iAr fOe�x•..•.•16.d pr n r . t of A<y �� o a r /J //C� �P�,• •' s��• .nd ,Fxnrhr inpw .... ....JM1rnw.q Mdtn�M Pnpnyfm Irby dj¢m An^n. i(q TH ••:� `• 49 6 • "'1Q� ............ ..J ds w w. y r nxwrF en ,4 Irignrp Ax n- Igpwemenu en p,oN^I Irin6 .dpant +Face rnsmvF w d .6M1.dJ 7 A..nJ`,La ,Far yr ns real ra« va. a.o. Idr• ddbk a � nu on uW p.up�q Ir �•^ i d • eFn ��•. • ��.4 `, On�FI �Fu�a•y--�J.y �•� •Je0 1TJ. `� : .' LG.BCPGEE _2,I T zi zt� YYOM -B w;,,d,ws zQ,4„ yes,./prr lb � 2' -1 T 6 1 37� PAYMENT DATE 07/10/2026 COLLECTION STATION CASHIER RECEIVED FROM Keith Holmes DESCRIPTION CZ 2027-002 1519 A Mission Rd Kodiak Island Borough 710 Mill Bay Rd. Kodiak, AK 99615 BATCH NO. 2027-00000006 RECEIPT NO. 2027-00000015 CASHIER Cashier •• DESCRIPTION 9 • • Zoning Compl I Zoning Compliance Permit I $30.00 CZ 2027-002 1519 A Mission Rd Payments: Type Detail Amount Cash $30.00 Total Amount: $30.00 Customer Copy Printed by: Cashier Page 1 of 1 07/1012026 10:39:02 AM