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SPECIAL PERMIT APPLICATION <br />COUNTY OF HAWAII <br />PLANNING DEPARTMENT <br />M,peorPrintthe requested ii&nnation) <br />APPLICANT Orchidland Neighbors <br />APPLICANT'S SIGNATURE! � <br />ADDRESS: HC2 Box 5688 <br />BAT&. �J •�f <br />Keaau, Hawaii 96749 <br />Physical Address of property- 36th Avenue- off Orchidland drive _ <br />LIST APPLICANT'S INTEREST IF NOTOWNER, <br />TELFpHONE: {Bus.) 808-854-1225 (Home)(Fat) <br />l use for a muiti-purpose community facility in Orchidland Estates <br />RE¢UEST. To grant specia <br />TAX MAP 00100050000, 160100060000, consolidateIONTNG: 3 — <br />AREA OF PROPERTY/AREA OF RLQUFSTED USE. 4 acres total <br />LANDOWNER: Orchidland Neighbors <br />LANDOWNER'S SIGNATURE: � DATE; g s �9�Ya�Z_ <br />(May be by lever) <br />LANDOWNER'S ADDRES& Physical Address of property.- 36th Avenue -off Orchidiand drive <br />Vacant Land <br />AGENT: Virginia Aste, President <br />TELEP14ONE' (8ns.) 808-854-1225 (Hame) Tax) <br />Please indicole to ntwm original correspondence and cc -pies should be scut to. - <br />ORIGINAL Virginia Aste, Orchidland Neighbors COPIES; <br />1 <br />Planning Dept. <br />Exhibit <br />