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a <br />COUNTY OF HAWAII PLANNING DEPARTMENT <br />APPLICATION FOR STATE LAND USE BOUNDARY AMENDMENT <br />(15 ACRES OR LESS) <br />APPLICANT: REGENCY PACIFIC, INC. <br />APPLICANT'S SIGNATURE: SEE ORTGTNAT- APPr TCA TON ON F LF IN PLANNING <br />MAILING ADDRESS: 970 FIFTH AVENUE N.W. <br />ISSAQUAH, WASHINGTON 98027 <br />TELEPHONE: (BUS) 206 392-4066 (H'OUE) FAX 206 392-6189 <br />LANDOWNER: GOMES FAMILY LIMITED PARTNERSHIP - STANLEY GOMES MANAGING PARTNER <br />LANDOWNER'S SIGNATURE: SEE ORIGINAL APPLICATION ON FILE IN PLANNING <br />TAX MAP KEY: (3) 7-7-10:15 PORTION <br />LAND AREA: 1.19 ACRES <br />CURRENT STATE LAND USE DISTRICT CLASSIFICATION: AGRICULTURAL <br />REQUESTED STATE LAND USE DISTRICT CLASSIFICATION: URBAN <br />THE APPLICANT SHALL SUBMIT THE FOLLOWING: <br />A. Non-refundable filing and processing fee of two hundred dollars. <br />B. Original and fifteen copies of: <br />1. Application form. <br />2. Location map. <br />3. Preliminary site plan, drawn to scale, with all existing <br />and proposed structures and improvements shown thereon. <br />4. Reasons for the requested change and written description of <br />the property and proposed development, including but not <br />limited to: <br />a. The extent to which the proposed reclassification <br />conforms to the applicable goals, policies, standards, <br />and courses of action of the General Plan and <br />implementing ordinances, plans and documents; and <br />b. The extent to which the proposed reclassification <br />conforms to the applicable district standards. <br />C. A minimum 2 -foot by 3 -foot presentation map requested under B.3, <br />above. <br />D400q <br />PD 2/26/87 <br />