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~~i~~; ~~~L~c~~~r~®~ <br /> COUNTY OF ~~AWAII <br /> i ; ~'LANNING DEPARTMENT a ; ; ~ - _ . <br /> ~ ~ f~ ('f'ype or legibly print the requested information) <br /> ~Y 9 S`, r, ~ Y i '1 i <br /> . <br /> A.PP~:TCANT: <br /> APPL[CANT'S SIGNATURE:__~-~_ - ~_~~_._DATE:__ ~ _ <br /> ADDRF_.SS_ ~ _ <br /> LIST APPL[CANT'S INTEREST IF NOT OWNER: <br /> LIST' PRINCIPAL(S) INCLUDING NAMES OF MAIN OFFICERS.. <br /> PHONE:(Bus.) ~ ~ (Res.). ~ (Fax)__ - <br /> LANDOWNER(S): ~ ~ ~ - <br /> LANDOWNER SIGNATURE(S)<~ ~ : ~ l / ~ ~ DATE: <br /> ~ (May be by letter) <br /> LANDOWNER(S) ADDRESS:.-. <br /> REQUEST: TO _ ~ ` ~ ~ _ <br /> (Existing zoning) (Proposed Zoning) <br /> TAX MAP KEY: <br /> STREET ADDRF,SS OF PROPERTY: <br /> SIZE OF PROPERTY OR AFFF.CTFD AREA(S) TO BE REZONED: <br /> AGENT: <br /> ADDRESS: <br /> <br /> 'f'Et.EPHONE:(Bus.)___ _ ..e~_-__--_ (Res.).__ lF'ax)______-~~.~~_-- <br /> C'lease indicate to whom anginal correspondence and copies should be sent. <br /> <br /> C)RIc~(NAf.,:_.___ -----_.._._----COPIES:_____ _ <br /> (see fnstructions nn Rever,~e Side) E ~ B <br /> ~ ^ <br /> <br />