USS 3218 TR R-2A - ZCP 8/17/2026Zoning Compliance Permit Permit No. CZZclTl -ol
The following information is to be supplied by the Applicant
Property Owner/Applicant:or!.^k 550(:4*,o'-t
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Mailing Address
Phone Number:
Other Contact Email, etc..:t€ . o'
,v/A Lot:
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LegalDescription: Subdv:U
Street Address ,{
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Use & Size of Existing Structures i 3
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Description of Proposed Actaon: k n,
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Appllcrnt CertiticrtiollJ. I herebl certifi thot I $,ill conply with the provisions o;l the Kodiak lsland Borough Code
aii thor I have the quthoriry- to 9!dfuJ!L!t34.!fi!2g29!!!J!!!!9!. or as a reprcs?ntativt' ol the ProPent* o\rn"r. I
agree ,o have identiliable corner narkers in place for wrificotion ofhuilding selback lyard) requiretnents.
Tiile: Faz l/ v..t l1',ertx Print Namc -<fi4'( lc I a J
Date:3/t s / zoz d,Signature:
Site Plan to include lot boundaries and eristing huildi ne* q),$lru( lion.
access poir s, and vehiculat parking ar.'a,Built r.'qui th all imprutvunents
This permit is onlyfor the proposed project as described by the applicant If there are any
changes to lhe proposed project, including ils intended use, priot to ot during its siting,
conslruction, operation, contacl this o!fice immediately to daermine dfurthet review and
approval of the revised proiect is necessary.
THIS FORM DOES NOT AUTHORIZE CONSTRUCTION WHEN A BUILDING
PERMIT IS REQUIRED.
_----'-2
Kodiak Island Borough
Community Devclopmcnt D€Partmcnt
7l() Ntill Bay Road Rrxrnr 2()2
Kodiak, r\laska 99615
Phonc (907) 4ti(r-93(r3 trax (907) 48(r-939(r
l>currie(Z krrliakak.us
Staff Compliance Review
Does the Proiect involvc EPA ,/
Defi ned Facility?'comre,i""ty'rtt-iiilif-
lnstallations. inslitutions. and regl0ence3
With more than lour (4) drgrllng unites'
,./
Proofof EPA noti ation provlded (ifrequired)?
'Requircd for all demos s disturbing at l€ast UO sq _
fe€t. 260 lineafeet, or cubic ff of Regulat€d Asbestos Containing
Mate.ial {RACM) and tor lhat remove load supporting structuae'
Expirtion: Any Zoning Coupliance Permit issued is subjecl to the same expiration, suspension, ond revocation
provisions as a building permit issued for the saue construction Permit.
Current Zoning (L1-'r-.J6 Prop. ID:
Lot width: (q {)'Building
Side Yard: =lli[ 1rt. Sd'Rear Yard:l0'
Parking Plan: U\(-Parking Spaces: Nl;L As-Built: I.llilr
StaffNotes:4.
LotArea:1rbDq
Front Yard: .4,5'
L
//)CDD Staff Signature:Date:
Pavment Verification
s0.00
$30.00
$60.00
$90.00
$l20.oo E
After the Fact 2X the published amount
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E,d
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$0.00
$60.00
$120.00
$180.00
$240.00
Waived:
Less than 1.75 Acres:
I .76 to 5.00 Acres:
5.01 to 40.00 Acres:
40.01 Acres or more:
Staff Certification
Transaction Receipt - Success
Kodiak Island Borough
Kodiak lsland Borough Community Developmenl
MID:200006988265
710 Mitl Bay Road
Kodiak . AK 9961 5
907486-9323
0811412026 08:53AM
Rcmittance ID:
KodiakOS 14261250259 I TFol
Transaction ID:
355407t22
KODIAK AREA NATIVE ASSOCIATION
3449 E Rezanof Drive
KODIAK, Alaska 99615
lJnited States
Visa - 4404
Approval Code: 032078
Sale
Amount: $60.00
Kodiak Area Native Association
907-486-9800
cZ.2027-0|L
3449 E Rczanof Drive Kodiak. AK 99615
Scrvicc Fcc: 52.00
Service Fee Type: Dual Transaction
Total Amount: $62.00
Cardmember acknowlcdgcs
receipt of goods and/or
services in the amount of
the total shown hereon and
agrees to perform thc
obligations set forth by the
cardmcmbcr's agreement with
the issuer.
Signature
click hcrc to continuc