ANCIQ LT 3A - ZCP 8/3/2026."__"T#*l:fs::I#I,,_..,
710 Mill Bay Road Room 202
Koa;L, Alaska 99615phone (907) 48G9363 Fax (907) 4869396
bcuric@kodiekat"us
Zonlng Compllanco Perm it permit No. 6 (l.ozq-cL5
The following information is to be supplied by the Applicant
Property Owner/App 1;""n1. Richard Lorenzo
Mailing Address: '1020 Amelith Rd Bay City, Ml 48706
phone Number: 989-45G3050
Other Contact Email, etc..: richardlorenzol 01 6@gmail.com
Legal Description: Subdv: ANCIQ
Sheet Address: Amook lsland
Block 3ALot
Use & Size of Existing Structures: N/A
Description of Proposed Action: New build cabin. 24, wide by 32'long M 8'porch
House plans/drawings will be attached in separate email
Applict
and pt
agree ,o
rt.Ccrdficrtiotr: I lereby certily thot l.will comply with the provbions of rhe Kodiok Islaad Borough Codel,?",r1: -yl?^,, . cctdfv.rhts.at Ae or-ooc p*au. oi os a npointotiuu of the propeny ov"aei. tMNe aenntctbte comet mar*ers in place tor veilcation ofbuilding setback (yare requirements.
Title: Owner Print Name: Richard Lorenzo
Signature:
Slte Plan lo include lot boundaries and existing ease
access points, and vehicular parking area,
ments and buildings, proposed o/ new cotutruction,
As-Built rcquired with all improvemenls changes.
-)
Thi$ pemit is only lor the proposed projecr as described by the applicont. IJ there are anychaages .to the proposed project,.including its lntended ie, priii to or Aiing il" Ahgiconstruclion' operation, conlact rhb olfice in udiately to deiermine llfunhei review ind
approval ofthe revised prujecl is necessar!.rHrs FoRrvr D,ES Nor ^HHgfliiSfiSiilxrrr:rroN *HEN A BUTLDTNG
Dal6, 5t21n025
Staff Compliancc Rcviov
rldings.
lnstallalions, institutions, and re ces
With more than lour (4)dwell untles'
Does the Projecl involve EPA
Defi ned Facility'l'comm6ncal
CurrentZoning: C- tf .5O
Lot Area: .1kfr.S Lot width: L*"
FrontYard: ll.)l+( SideYard: 7{'
Parking Plan: \)H Parking Spaces: N 1,+
Staff Notes:
Proof of EPA notilicatrof provrded I if requirod) l
'R€quired for all demos. renova;{ons disturbrng at l€asl UO sq
-feet 260 lineafeel. or 35 cuUcy' of Regulaled Asbestos Containing
Material {RACM} and tor renovalron thal romove load supporling slruclure'
Prop. ID: L*lCtC
Building Heigfi:'1t)'
Rcar Yard:-)
As-Built tfif (r'lat)
Staff Certification
CDD StafT Signaturef)ate:
Waived:
Less than 1.75 Acres:
I .76 to 5-00 Acres:
5.01 to 40.00 Acres:
40.01 Acres or more:
$0.00
s30.00
$60.00
$90.00
$ 120.00
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Afier the l-act 2X the published amount
s0.00
$60.00
s 120.00
s I 80.00
s240.00
Expirution: AnyZoring Compliance Pennit issued is subject to the some expirotion, suspcrlsion. atd tevocation
prorisions as a building permit issued lbr thc sam( rcnstruction permit.
Pxvmcnt Vrrification
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Transaction Receipt - Success
Kodiak Island Borough
Kodiak Island Borough Community Development
MID:200006988265
710 Mill Bay Road
Kodiak. AK 99615
907-486-9323
0512212025 08:28AM
Remittancc ID:
Kodiak052225 I 227287 44Cur
Transaction ID:
335977592
RICHARD LORENZO
1020 Amclith Road
BAY CITY Michigan 48706
United Statcs
Visa - 1594
Approval Code: 05092D
Sale
Amount: $ 120.00
Richard Lorenzo
9894503050
BZ202s-045
PID 25406
Scrvice Fce: 53.00
Service Fee Type: Dual Transaction
Total Amount: $ 123.00
Signature
click hcrc to continuc
Cardmenrbcr acknowlcdges
receipt of goods and/or
scn'ices in the amount of
the lotal shown hereon and
agrees to pcrform the
obligations set forth by the
cardmembcr's agrcemcnt with
lhe issuer.