Laserfiche WebLink
RECEIM OCT 2 6 2020 <br />— REFERRAL of SIGN VARIANCE APPLICATION for KVDC REVIEW — <br />To: KAILUA VILLAGE DESIGN COMMISSION, CIO PLANNING DEPARTMENT <br />From: DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION <br />SITE TAX MAP KEY NO.: 3— *7—.5-- / — 31, /,,�j jo��01 <br />STREETADDRESS: (jAkiAY jzj9&kW KAILUA KONA, HAWAII <br />NAME OF <br />SIGNATU <br />MAILING <br />TELEPHC <br />APPLICAI <br />BUSINESS RELATED TO REQUESTED SIGN: <br />NAME OF OWNER (if same as Applicant, write "Same"): <br />SIGNATURE: DATE: <br />MAILING ADDRESS: <br />* NATURE/TYPE OF BUSINESS: <br />TELEPHONE NUMBER: <br />OWNER OF MASTER LEASEHOLD INTEREST tMasW Lessee), if land ownership is not fee simple: <br />NAME OF MASTER"'i"i""' AAC "i= 0 g"k >LteiusNA /:LAO& '7r1 AUA& <br />SIGNATURE: <br />Print name of signator if <br />MAILING ADDRESS: <br />TELEPHONE NUMBER: <br />(Fee Land Title Holder) <br />OWNER'S SIGNATURE: <br />Print name of signator <br />MAILING ADDRESS: <br />TELEPHONE NUMBER: <br />ILA <br />DATE: <br />Please include the original plus ten copies (eleven (19) 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 pacement in Kaitua Village except as <br />requested in attached variance application (type and number of signs, letterllogo height, sign area. & placement) <br />Confirmed by: <br />• Planning Dept.: County Zoning District: <br />QUiWfty0wV0ftkWWSiP VARW = ftftRHairN4--W124ec <br />Date: <br />L.�L7' <br />B �'� �t 3 <br />