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<br /> <br /> <br /> <br /> <br /> <br /> ACCEPTANCE FORM <br /> FOR <br /> EXCEPTIONAL TREE STATUS <br /> <br /> I, the undersigned, am the fee simple owner or authorized agent of the owner of property <br /> where a tree, stand, or grove of trees grows that has been nominated under the criteria of the <br /> <br /> Exceptional Trees Law (HRS 58). The property and nominated tree/stand/grove are further <br /> described below: <br /> <br /> <br /> TMK: 7J' Lo <br /> <br /> District: / A-ILL/ -/,~OAM <br /> Description of Tree/Stand/Gro ve: A14027Zlt1 2914Y / I C Ui c <br /> 4( ,E4, -7-0 14 ~1 2FZ i IIC - ~fC~C155 T~?r r~l 3 rl- /~f~ <br /> <br /> J4-J-V,,, - 6614 <br /> <br /> <br /> I agree to allow it to be designated as such upon the list of Exceptional Trees of the County <br /> of Hawaii which is filed with the Arborist Advisory Committee and the Hawaii County <br /> Planning Department. <br /> <br /> <br /> I agree that I will not destroy this tree or affect its immediate surroundings in such a way <br /> <br /> that its health and vigor is negatively impacted without first consulting the Arborist <br /> Advisory Committee through the Hawaii County Planning Department. <br /> <br /> <br /> I understand that the County of Hawaii assumes no liability with reference to this tree and <br /> will not be responsible for its care and maintenance. However, if I need assistance <br /> <br /> with care and maintenance, I will feel free to contact the Arborist Advisory Committee. <br /> <br /> In the event that the property owns er tp is transfers , I will notiy the Ar rist Advisory <br /> <br /> Committee within thirty (30) day _ f (Or <br /> <br /> Owner's or Agent's signature:` <br /> Print name: <br /> <br /> OS/Ja 1 Jco(, <br /> Date: <br /> P:\WPWIN60\Arborist Advisory Committee\Form\Exceptional Trees ACCEPTANCE FORM.doc <br />