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PI.A KING DEPARTMENT <br /> C OIATY OF HA11,1XII <br /> SPECIAL PERMIT APPLICATION <br /> COUNTY OF HAWAII 2016 MAP, — I PM 2. 32 <br /> PLANNING DEPARTMENT <br /> ('Type or Print the requested information) <br /> APPLICANT Q If% <br /> APPLICANT'S SIGNATURE: Z41z,Il DATE: 311 <br /> ADDRESS: -73"- q1 lq lAkli koo+ ❑r,iy t1 <br /> Kqs; 14T 9iG7yQ <br /> LIST APPLICANT'S INTEREST IF NOT OWNER: I on TF G cAe)f <br /> TELEPHONE: (Bus.)$0g'32 '$L2yD[Horne) �7 (Fax) a0B'32.G'' IL47 ! l <br /> REQUEST: !� S�tA �°yTD�I�� u T�C��[��11 l� �T�f14 t��'7�, _f' CG i 5�1 <br /> AnckD,I lNa MrA Cr .0�n► urw1 M016C-i <br />