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PETITION FOR STANDING IN A CONTESTED CASE HEARING <br /> (Page 2 of 2) <br /> D. Are you a person or persons descended from dative Hawaii who inhabited the <br /> Hawaiian Island.s.prior to 1778, who.practiced those ri(,,hts which were customarily and <br /> traditionally exercised for subsistence, cultural, or religious purposes? <br /> Yes No x <br /> If the answer is "yes"; please submit any genealogical evidence and historical evidence <br /> showing the exevcise of those rights to support your statement,- <br /> Petitioner's Signature <br /> STATE OF HAWAII <br /> SS. <br /> COUNTY OF HAWAII ) <br /> Oil this '26 day of t'I ( 20_, before ine personally appeared <br /> L1 to ne Imown,to be the person described in and who executed <br /> the foregoing instrument, and acknowledged that be executed the same as his free act and deed.. <br /> DESTINY i•iliLSEY <br /> Notary Public Arkansas Notary Pu lic, St of Hawaii <br /> Clark.Caunty. <br /> Commission#12713984 <br /> My Cammissiun Expires Feb'M 2031. r <br /> My commission expires. 2_0_ . <br /> Appendix A <br />