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DEPARTMENT OF PUBLIC WORKS <br /> BUILDING DIVISION <br /> SIGN CODE VARIANCE APPLICATION <br /> (1) Sign Owner/Applicant <br /> InOI 001V1111 0(5Y1S <br /> Name <br /> 1 O Atauc4 kit/ go. t Ili Vi, th a61i11-0 <br /> Mailing Address <br /> qN-44'i\ <br /> Phone Number(Business) Phone Number(Residence) <br /> (2) Property Owner: <br /> ma t O P1tattta uc <br /> Name-if different rqm siwr o 2er/applicant <br /> 22.0 (iii' Alit, 1), <br /> SC9t11'1Ci,IN ft- 4812-1 <br /> Mailing Address <br /> 2(ki 411-24 <br /> Phone Number(Business) Phone Number(Residence) <br /> (3) Location of Sign <br /> Address -76141/ 91101101 Rd. Katitu a-KOh"t (•1"1 <br /> Tax Map Key 1'C1101-004 <br /> (4) Zoning Cohnrf YC4 <br /> (5) Hawaii County Code Section(s)From Which A Variance Is Being Requested: <br /> Ko111• o XeA OGG SCq•� Eb);3 �gCc� <br /> (6) Attachments required to be filed with this application: <br /> (a) A complete copy of any sign permit application or rejection of the sign permit,if any; <br /> (b) A photo or drawing of the relevant sign(s); <br /> (c) A map showing the location of the sign(s)and showing all streets adjacent to the building <br /> or lot where the sign is located; <br /> (d) A list of the names,addresses,and tax map keys of all property owners located within <br /> 300 feet of the perimeter boundary of the affected property. <br /> (7) Filings Fees:This application must be accompanied by a fee of$100 for each sign or an amount <br /> equal to 10%of the total value of the sign(s),excluding installation costs,whichever is greater, <br /> payable to the County Director of Finance. <br /> (8) Applicant must provide written explanations for the following(please attach sheets): <br /> (a) Granting the variance is necessitated by the peculiar physical conditions not ordinarily <br /> found in most districts,because of the peculiarity of a business,or as a result of a special <br /> event or circumstance; <br /> (b) Granting the variance will not adversely affect the rights of adjacent property owners or <br /> tenants; <br />