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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 native Hawaiians who inhabited the <br /> Hawaiian Islands prior to 1778, who practiced those rights which were customarily and <br /> traditionally exercised for subsistence, cultural, or religious purposes? <br /> Yes No <br /> If the answer is "yes", please submit any genealogical evidence and historical evidence <br /> showing the exercise of those rights to support your statement: <br /> Petitioner's Signature <br /> STATE OF HAWAII ) <br /> SS. <br /> COUNTY OF HAWAII ) <br /> On this K day of WVch 20 tel, before me personally appeared <br /> IDMIS -A Loadq , to nye known to be the person described in and who executed <br /> the foregoing instrument, and acknowledged that he executed the same as his free act and deed. <br /> ��ttti111Pi(rr� <br /> Jt#aPublic, State of Hawaii <br /> My commission expires: JAN 0 12024 <br /> "60F; \AP:' ����ttt1u rta�rii <br /> AR 0 0 707 <br /> 2 °., <br /> Doc. Date: #Pages: <br /> ta c y 12 � <br /> NotaryName: �1f S <br /> oc. Description: Ill lY1 lA Q� cs) AppendixA, <br /> Icase <br /> € ®`— <br />