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Yes No <br /> e . Police Protection X <br /> f , Fire Protection X <br /> X <br /> 9 Recreational Facilities <br /> X <br /> b Public Utilities <br /> I. Other X <br /> For those checkedes , please elaborate what type�� or kinds of improvements <br /> and/or assistance are needed. <br /> Signature: (—Xejlt <br /> Address: 76-6223 Mikilana Street,Apt.A Kailua-Kona,HI 96740-3003 <br /> -- <br /> P <br /> Tele hone: (808)987-7385 -- --_-_ -- -_—_----- <br /> Date: 11/m610,2017 <br /> • <br /> -4 •- <br />