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<br /> <br /> <br /> <br /> PROPERTY AND VEHIcL.E LOCATION INFORMATION <br /> <br /> <br /> Please indicate which district the property is located (circle one): <br /> Puna N. Hilo S. Hilo N. Kona S. Kona N. Kohala S. Kohala Ka'u Hamakua <br /> <br /> <br /> Property Tax Map Key (TMK) Number: <br /> Property Site Address: <br /> (City) (State) Hawaii (ZID) <br /> Please provide a detailed sketch of the property site that the vehicle is located. Include the nearest <br /> access road, all entrances into the parcel, and identify the exact location of all vehicles, structures, <br /> utilities and any other obstructions (attach another map if necessary). <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> The vehicle(s) islare derelict. I am the property owner, or a certified representative, and am <br /> giving the County of Hawaii my consent to enter my private property in order to access the <br /> derelict vehicle(s). To the extent of my knowledge, no vehicle described in this application has <br /> been stolen or involved in any criminal activity. I hereby release all liability of the County and <br /> their representatives for the time period needed to reasonably assess and tow the derelict <br /> vehicle(s). If a County-contracted tow truck operator determines that the vehicle(s) cannot be <br /> towed away safely, with reasonable effort, then the County is under no obligation to tow the <br /> vehicle(s). <br /> <br /> I hereby agree to these terms. <br /> <br /> <br /> <br /> <br /> Signature of Property Owner or Representative Date <br />