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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 HAW,��AAAII ) <br /> On this I d' day of �U 20�, before me person,lly appeared <br /> -Wrw all w , to me 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 /> N`�qq 11111111 M q 1�1�j'' <br /> NE 1(q'%,,� <br /> Af <br /> VY P�et.��t� . <br /> c�; = Notary Public, State of Hawaii <br /> P,.• <br /> • No.22-153 M commission ex ires: � � l a� . c�A RY G 9y <br /> y�sj.• P♦ r— <br /> ��i rF rn <br /> P \"NOTARY PUBLIC CERTIFICATION •_ �• <br /> 6armalne K.Ahy a ill J id it it _ <br /> Doc. Vl N .No 22�S *\ <br /> ,9 3 <br /> Doc. i,�����„'�F/ZlII�,,,'AA)\\\\\\��� <br /> 0 Appendix A <br /> Notary Signature t <br /> My commission expires: <br /> i <br />