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CHANGE OF ZONE APPLICATION <br />COUNTY OF HAWAII <br />PLANNING DEPARTMENT <br />(Type or legibly print the requested information) <br />APPLICANT: Takata Dental Health Center, Inc. <br />APPLICANT'S SIGNATURE: gat/4/W k G %ti DATE: June 14, 2011 <br />ADDRESS• 455 Waianuenue Avenue <br />Hilo, HI 96720 <br />LIST APPLICANT'S INTEREST IF NOT OWNER: <br />LIST PRINCIPALS) INCLUDING NAMES OF MAIN OFFICERS: ?I` '''t Pei r ': #/74 <br />wix Ms/ Q kl � aict:A Cp-Y X31 s wz- 3 -;-- <br />PHONE:(Bus.) 935 -3351 (Res.) (Fax) <br />LANDOWNER(S): Aileen N. Takata Trust and Brice Takata <br />LANDOWNER SIGNATURE(S): 91140% 2141x ({irade.e) ,;,..4.,, DATE: June 14, 2011 <br />(May be by letter) <br />LANDOWNER(S) ADDRESS: 455 Waianuenue Avenue Hilo, HI 96720 <br />REQUEST: RS -10 <br />TO RCX -20 <br />(Existing zoning) (Proposed Zoning) <br />TAX MAP KEY: 2-2-038: 028 <br />STREET ADDRESS OF PROPERTY: <br />1732 Kilauea Avenue <br />SIZE OF PROPERTY OR AFFECTED AREA(S) TO BE REZONED: 1 acre <br />AGENT: Sidney M. Fuke Planning Consultant <br />ADDRESS• 100 Pauahi Street, Suite 212 <br />Hilo, HI 96720 <br />TELEPHONE: (Bus.) 969 -1522 (Res.) (Fax)969 -7996 <br />Please indicate to whom original correspondence and copies should be sent. <br />ORIGINAL: Sidney Fuke <br />COPIES; Dr. Ellsworth Takata <br />(See Instructions on Reverse Side) <br />Planning Dept. <br />Exhibit 2 <br />