LAKE ORBIN LT 2 - ZCP 7/27/2026t. t
Kodiak lsland Borough
Community Development Department
710 Mill Bay Rd. Rm 205
Kodiak AK 99615
Ph. (907)486 - 9363 Fax (907)486 - 9396
htto://www.kod iakak.us
Print Form Submit by Email
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Permit [\6. ezzorarz:Zoning Compliance Permit
The following information is to be supplied by the Applicant
Peter Allan/Mary Ann Hickey
PO Box 1907
Property Owner / Applicant
Mailing Address:
Phone Number:
Other Contact email, etc.:
Legal Description:
487 -2333
wildfins@alaska.net
Subdv: Lake Orbin Block
Street Address:
Use & Size of ExistinB Structures:
Vacant lot
Description of Proposed Action:
Erush clearing and site prep , PrJarf,*( dt,v<,.<rn -6
Sile Plan to include: Lot boundo es dnd existinq eosements, existing buildings, ptoposed locgtion ol new construction, occess points,
ond vehiculor porking oreot.
Staff Compliance Review:Current Zoning: RR1 KtEC 17.70
Lot Area 1.46 Acres Lot width 720'
Front Yard: 25 'Rear Yard:Side Yard 15'
Prk'g Plan Rvw? Not Applicable f of Req'd Spaces
Staff Compliance Review Notes and Specific Plat / Subdivision Requirements:
Subd Case No Plat No 2013-2 8ld'g Permit No. TBD Bldg Dept
Loti 2
PROP_ID 23707
Bld'g Height: ' 35'
Doer the proiect involve
'Comm.r.iot buitdingt iataollotiont (milhory ;sesl,
inttitutions (tchoob, hosphols) ond t.tid.nc.s whh
mor. ?hon tout (4) dwelling unias.
.. J .t
Proof of EPA notification provided (it required)? NO
'Requh.d lot oll defiolitiont, ,ot rcnNotlorrs dlstut ng ot l.ott 760 tquorc
l.ct, 2A fineot le.t, or 35 cubic l.et ol Rcgulotcd asbcstos Coaaolnlng Mot.rlol (MCM|, ond
fo. rcnottotlont thol tanow o loo.t-tuppoding sruct,Jtol ficmbaL
No oermit will be issued for such orolects without oroof of EPA notification
N/ADriveway
Permit?
Septic Plan
Approval:
Fire
Marshall:
N/A
TBD Bldg Dept
AoPlicant Certification: t hereby certify thot lwitt comptywith theprcvisions of the Kodiak lsland Botough code ondthat t
havethe quthotity to certily this osthe Noperty owner, or os o representotive olthe prcperty owner. I ogree to hove identifioble
<orner markers in place lor ve ficotion of building setbock (yotd) requirements,
Attachments? Site Plan List Other:
Date: Oct 23,2017 Signature
This pemit is only for the proposed project os described by the applicant. lf therc are any changes to the
prcposed prcjed, including its intended use, prior to or during its siting, construction, or operation, contact
this office immediately to detemine if further review and apprcvol of the revised project is necessary,
THIS FORM DOES NOT AUTHORIZECONSTRUCTION WHEN ABUILDING PERMIT IS REQUIRED.
'* EXPIRAflON: Any zoning compliance pemit issued is subject to ahe some expirotion, suspension, ond revocotion prcvisions as o
building petmit issuedfotthe sdme constru.tion pemia.r'
eDD5larrcertifrsaIs.o
Date: Oct 23, 2017
Payment Verifi(ation Zoning Compliance Permit Fee Payable in Cashier's Office Room f 104 - Main floor of Borough Building
After-the-Fact 2X the published amount
LL
Not Applicable
Less than 1.75 acres
1.76 to 5.00 acres:
5.01 to 40.00 acres:
40.0'l acres or more
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