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<br /> <br /> <br /> <br /> <br /> <br /> <br /> Yes <br /> <br /> f. Fice P°ac~rIIor x <br /> ?ecr^alknwh"I Fa CIIitIer x <br /> <br /> It P[iol i s It! . i i t ies x <br /> <br /> other x <br /> For those checked "yes," please elaborate what type or kinds of <br /> improvements and/or assistance are needed. <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> 4. <br /> <br /> Signature: <br /> <br /> Address: 75-143 HuaKIN Road, 4202 Kailua-Kona <br /> Telephone: 3264675 <br /> Date: October 25, 2005 <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> 6337A/SDA P. D. 5/04 <br />