KODIAK TWNST BK 8 LT 4 - ZCP 7/23/2026 (2)a+& zoNS{G CoM*rrtn_:#s RMIT
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Kodiak Island Borough, Community Development Department, 710 Mill Bay Road (Rm. 205). Kodiak. AK 99(rl5
PH :(907)486-9362 Fax(907)4ti6-9396 http://www.kib.co.kodiak.ak.us
N BELOW
l. PropertyOwner/Applicant:
Mailing Address:2<)Phone:
I t32. Legal Description:
Street Address:
t/
Tax C e:_R
3. Description of proposed action (attach site plan):t'D 6 /3 I'
4. Site Layout:
Actual Lot Area:r5 Width
Proposed Setbacks: Front Side Rear Building Height
5. Use and size of existing structures on the lot:<F2 x kr
STAFF WILL PROVIDE YOU WITH A COPY OF THE APPL1CABLE CODE SECTIONS THAT APPLIES
ro yoUR DEVELOPMENT Acrrvrry lJ /A
Zoning District D Parking Requirements E Solid Waste Removal Requirements E
INFORMATION FOR STAFF PURPOSES
Compliance:
Current Zoning:Use and size of existing structures on the lot: D
Minimum Required l,ot Area: E Width: tr Setbacks: Front: E Side: E Rear: E Building Height: E
Number & size of parking spaces required per parking/site plan: fl Off-street loading requirements: D
Plat/subdivision related requirements (e.g. plat notes, easements, subdivision conditions, drainage plan review,
etc. )
Other Requirements (e.g. zero lot line, additional setbacks, projections into yards, screening, etc
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CMP Application Policies
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APPLICANT PLEASE FILL IN THE INFORMATI
6'Numberofparkingspaceandsizeofparkingarea:
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APo1020
Street Nu[Der Dr Name2L,'5, MILT' BAY RD
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KI SD
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SFRC CAMA Mass Appraisal
Old Parc (More . . . )PROP20 Please enter the parcel or account. number (or press desired functsj.on)
F1=Add F2=change F3=Exit F4=Prompt F7 /F8/Fl7 /F18=Scro1L F24=More Keyg
t PERMIT
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s25.00
Kodiak Island Borough, Community Development Department, Tl0 Mill Bay Road (Rm.205), Kodiak, AK 99615
PH :(907)486-9362 Fax(907)486-9396 http://www.kib.co.kodiak.ak.us
& ,oryGCoMPLrANgl
l. Property Owner/Applicant:fa
Mailing Address aa^(
2. LegalDescrip Loltion:
Street Address:
0
g Prop
ea:2D@
lCurrent Zo
Phone:
Width:a
Width:
Side:
U o(kha
a
a
3. Description of Existin
Minimum Required Lot Ar
Aclual Lot Area:
e nrng:
Minimum Reouired Setbacks: Front:Rear: lh'Z
Use and size of existing structures on the lot:
Maximum Building Height
7
: 2{/
Number & size of parkin g sprc required per parking/site plan dated:
Off-street loading requiremcnts: r1J Its
Plal
etc.)
isubdivision related requirements (e.S.Afptes, easements, subdivision conditions, drainage plan review,
Othe r Rcqutrcmcn ts (e.g. zero lot line, addi tional setbacks , projections into
Lt*r*t-c{r 6@ J",rtt
yards, screening , etc)___&_
Coastal Manqgem
Residential X e
cnt l)gram Applicable Policies (check appropriate category)
uslllcss Industrial Other
Is the proposed action consistenl with the KIB Coastal Management Program: Yes
Attacirment: Yes No-[No
Descriptionofproposedaction(attach'it"plan):
annSlt, C-.[
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LvIs
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4.. BUJ Zo| 14' - 28O j
ZoninE Collplixnrr I'crmil fee
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Ac-- ,6("[5. tr's 36'-= 3ob t 1t-x
-(t b-7 = 58b
\\dove\Depanmcnls\CD\Tdnplslcs\ComDcvVoninC Compliancr Pcrmit.doc
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Tax Code:_R L]{.ft2 t-.12Qj[..13_
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THIS FORM DOES NOT AUTHORIZE CONSTRUCTION
WHEN A BUILDING PERMIT IS REQUIRED
4. Other: Subd. Case #: l) k Plat #: N k Bldg Permit #:./
5. Driveway Permit (State, Borough, City) by/date:
6. 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 property owner, or as a
representative of the property owner. I agree to have identifiable comer markers in place in the field for
verifi cation of setbacks.
$e.^tBy'l'itlc:
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Supporting documents attached (check one): Site Plan As-Built Survey:
Other (List)
?
8. Comnruni Deve nt staff for zoning,
By,Title:,4.*I)atc zlob,
9. Fire Marshal (UFC) by/date N&-
10. Septic System Plan Approved byldate:Ai A-
This permit is ONLY for the proposed proiect as described by the applicant.
r during its siting,construction,,oro eration. contact this office
immediatel to determine if further review and a
\\dovc\Dcpanmcnts\CD\Tcmpl0les\ComDcv\Zoning Compliancc PGrmil.doc
roval ofthe revised
**EXPJRATION: A zonine compliance permit will become null and void if the buildine or use authorized bv
such permit is not commenced within 180 days from the date ofissuance. or if the buildins construction or use is
abandoned at any time. after the work is commenced. for a period of I 80 davs. Before such work can be
recommenced. a new permit must first be obtained. (Sec. 106.4.4 Exoiration. 1997 UBC) per KIBC 17.03.060.
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If there are any changes to the proposed project. including its intended use.
project is necessary.
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Kodiak Island Borough, Engineering & Facilities Department,710 Mill Bay Road (Rm.223), Kodiak, AK 99615
PH:(907)486-9348 Fax(907)486-9394 http://uarry=ki!.rsled3lat=ul
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING PERMIT
OR ZONING COMPLIANCE PERMIT IS REQUIRED
l. Property Owner/APPlicant:(ru,^lA ut i.4crkl,\c^y
Mailing Address:? l,lw,"<- LJc Phone
2. Legal Description:Lol 3 BIK K
Street Address t5 , M,'ll Tax Code: R
3.Descriptionofproposedaction(attachsiteplan):
C9ro/,1J,.()
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4. Applicant Certification: I hereby certify that I witl comply with the provisions of the Kodiak Island
Borough Code and that I have the authority to certifu this as the property owner, or as a
repres tative of the y owner
By:Titlc:
Dale:
Supporting documents altached (check one)Site Plan As-Built Survey:
S. Solid Waste Disposal Fee: (check one) J ZSO square feet or less: $250.00 Deposit
-500
square feet or less: $500.00 Deposit
(See attached form for details)
->500
square feet: $ I .000.00 Deposit
Other (List):
Solid Wistr Disposfll t'..
I
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