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CHANGE OF ZONE APPLICATION <br /> COUNTY OF AAWAII <br /> PLANNING DEPARTMENT <br /> (Type or legibly print the requested information) <br /> APPLICANT: E O- <br /> APPLICANT'S SIGNA DAT2?T~Q~~ <br /> ADDRESS: _ 1' <br /> ~/i~'lY9Q Tl~ <br /> q in-~z ~ <br /> LIST APPLICANT'S INTEREST IF NOT OWNER: <br /> LIST PRINCIPAL(S) INCLUDING NAMES OF MAINyyOFFICERS:_I~_~G~ <br /> PHONE:(Bus.) (Res.)`TT2=$5th (Fax) <br /> LANDOWNER(S): <br /> LANDOWNER SIGNATURES . DATESp~t _ <br /> (Ma be b le ) <br /> LANDOWNER(S)ADDRESS:_~ t'>.~"5)C ~ln~ <br /> ~i <br /> ~PYx Cl'to'7`7f~ <br /> REQUEST: f~T~~JrI TO ~~21~ <br /> (Eanshng zoning) (Proposed Zoning) <br /> TAX MAP KEY: t ~ ~-1- X73 ~ <br /> STREET ADDRESS OF PROPERTY:, ~ f1~~f1P1(A ~ l'1 <br /> SIZE OF PROPERTY OR AFFECTED AREA(S) TO BE REZONED: "`t.!'S ~p' T_K` rr~ g <br /> AGENT: ~ <br /> ADDRESS: <br /> TELEPHONE:(Bus.) (Res.) (Fax) <br /> Please indicate to whom origin-~al~correspondence and copies should be sent. <br /> <br /> ORIGINAL: (Y1~(J COPIES: <br /> ' EXHIBIT <br /> (See Instructions on Reverse Side) ~ <br /> <br />