Laserfiche WebLink
County ofHawai'i ORIGINAL <br /> Ji <br /> �tE'.f ' r:, _ DEPARTMENT OF PUBLIC WORKS-ENGINEERING DIVISION <br /> ,�,,{ zr t,.� <br /> IV�I ?- ' 9 2 5 2 4 l o� <br /> tAB1 Gf PEI T NO. Fee: $ 1 ° <br /> Check only-payable <br /> County Director of Fin <br /> Owner: ' ,q r11 'J'II,/V Ij a z-TDA) Address:_?p �3 q-,t 'T 9� Phone: -)37.?Ztst <br /> KAIGr.,A /L*^ng J . .967yS <br /> Civil Eng./Surveyor:na/vqw.�, Ara064;,; Address: 3• y11:01 9&tl/40q DR Phone: <br /> Aq$-79'1.-9 <br /> License No.: 15U-F?- C- IS-Az -WA Ido; i !, 96 9qb <br /> Contractor: 3 dTG r j j N G Address: Pb SSz Phone: F0$•1 Z� <br /> License No.: igC- PEA;L611A �20i �v 5 <br /> Location: A L,4 t j-4 P /1141elr 0y Tax Map Key:(3) r j••�_y�; D,3/ ori c Cut(Cy): j/65 <br /> e fdo <br /> Parcel Area (acre): 3 4 Area to be Graded (acre): 6, Dis[1-7 <br /> osal Site:G�c ���/M: <br /> Start Date: /f I IV Completion Date: t Fill(CY): <br /> (minimum 2 working days after issuance date) Borrow Site: <br /> Remarks: G-7r-adi,-ice moi- /:40.1-7 Gof7cec 19 7'0a tfA=p rz-► k=ako74 !'(aud GfZal1l-7ej <br /> GI-01--f Cfl.sk-;r- /,/o. 0 9 - 09- o0 Iz10 ,oS( s <br /> Ow/-;r r shz/1 /��Z-��y �•vi l-l2vc�zi i Co v✓, - 60 5 cc,c, f- • Z•7 !6-C-F)C3�' <br /> SvGGGSSo/- sfa �2 G+-t � C'crcli -� [c�n CT S��I� q1 -0fS, <br /> 933-7653(Hawai'i Island) 40 Pookela Street, Hilo, HI 96720 <br /> 1. STATE DLNR-HISTORIC PRESERVATION DIVISION Approved: 0 7 S 7 <br /> LOQ n!o •" Zo/o <br /> Received By: Date: Z Date: <br /> c5 CyG L6-7 R�i9e y� /o <br /> 2. PLANNING DEPARTMENT Approved: <br /> f <br /> Received By: Date: / j� I v� Date: <br /> / r <br /> I <br /> 3. DEPARTMENT OF PUBLI WORKS A rove for P rmit Issuance:. <br /> Received By:� Llr Date: I � i� Date: <br /> Z2 / <br /> I hereby certify that all work as requested above will conform to Chapter 10 of the Hawaii County Code. <br /> Owner: le� Date: o, <br /> F i to the Department of Public Works, Engineering Division, upon completion of work. <br /> Certification <br /> Accepted by: Date: <br /> inoIni _ t <br />