Laserfiche WebLink
— REFERRAL of SIGN VARIANCE APPLICATION for KVDC REVIEW — <br /> To: KAILUA VILLAGE DESIGN COMMISSION, do PLANNING DEPARTMENT <br /> From: DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION <br /> SITE TAX MAP KEY NO.: (S) 1 - .• cc '-1) O1 <br /> STREET ADDRESS: `TS- 'o f o 9 S t P-a I H-wY. KAILUA-KONA, HAWAII <br /> NAME OF APPLICANT: 4-1-el.-v..3A2.4�a.� <br /> SIGNATURE: / DATE: S /7 I2 <br /> MAILING ADDRESS: `-IG-S -1 (<x�+-+. (4 A -• S K.d.�a � H 1 94,71-41-1 <br /> TELEPHONE NUMBER: 80e::.• 2'I^7-`-t i 2-14-1 <br /> APPLICANT'S INTEREST, if not owner of business related to sign: tc. -1 <br /> BUSINESS RELATED TO REQUESTED SIGN: <br /> NAME OF OWNER (if s e as Applicant, write "Same"):- T4*U'3uc <br /> SIGNATURE: T7C C"`"AOL-•'^ DATE: P• 2-q' <br /> MAILING ADDRESS: /O t44---, A.t.C; Ste /0O, 7-1 or1.o/vl✓i &81 4 <br /> * NATURE/TYPE OF BUSINESS: C' 5/..or TELEPHONE NUMBER: TOg-5Z3•2412 <br /> OWNER OF MASTER LEASEHOLD INTE- ST Master Lessee), if land ownership is not fee simple: <br /> NAME OF MAST-' LESSEE: , <br /> SIGNATURE: l�L DATE: <br /> Print name of signator if not s.••- - -• Master Lessee: <br /> MAILING ADD : <br /> PHONE NUMBER: <br /> RECORDED LAND OWNER: -EL c- C_ <br /> (Fee Land Title Holder) <br /> OWNER'S SIGNATURE: ve1M DATE: 9/1(// <br /> Print name of signator if not same as title holder: -?12-e ,. A-1-../t•-a•Z2. <br /> MAILING ADDRESS: Veal et 407-14 St Cu (01/ Sca7-7-$t-1 f1-2 8 S 2 o <br /> TELEPHONE NUMBER: it - 3C9L--(p7OO <br /> Please include the original plus ten copies (eleven (11)sets total)of the following documents for KVDC review: <br /> (1)this Referral form with all signatures; <br /> (2)the attached Checklist completed and signed by both the Applicant and Business Owner;and <br /> (3)the sign variance application form with all attachments pursuant to Section 3-22(b) of the Sign Code. <br /> FOR OFFICIAL USE ONLY: <br /> DPW Comments: Proposed sign meets basic Sign Code requirements for placement in Kailua Village except as <br /> requested in attached variance application (type and number of signs, letter/logo height, sign area,&placement) <br /> Confirmed by: Date: <br /> * Planning Dept.: County Zoning District: <br /> C:\UsersVyoung\Desktop\Sign VARIANCE Application Referral 4-2-2012.doc March 2012 <br />