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SPECIAL PERMIT APPLICATION <br /> COUNTY OF HAWAI`I <br /> PLANNING COMMISSION <br /> (Type or legibly print the requested information) <br /> APPLICANT'S): Hamakua Health Center, Inc., dba Hamakua-Kohala Health <br /> APPLICANT'S SIGNATURE:See attached Fee Owner's Authorization Letter DATE: <br /> ADDRESS: 45-549 Plumeria Street, Honokaa, HI 96727 <br /> LIST APPLICANT'S INTEREST (if not owner): <br /> PHONE: (Bus.) 808-775-7204 (Res.) (Email) <br /> REQUEST: Establishment of the Hamakua-Kohala Health Center (Transitional Clinic and <br /> Workforce Housing) <br /> TAXMAPKEY: 3-5-4-005:011 (par.) ZONING: A-20a <br /> SIZE OF PROPERTY/AREA OF REQUESTED USE: 5.682 acres 4.321 acres <br /> LANDOWNER(S): Hamakua Health Center, Inc. <br /> FEE SIMPLE LANDOWNER(S) WRITTEN AUTHORIZATION <br /> (may be provided by letter with the below statement included): <br /> See attached Fee Owner's Authorization Letter DATE: <br /> DATE: <br /> Note: The above written authorization of the landowner(s)gives permission for the applicant/petitioner to file the application/ <br /> petition and acknowledges that the landowner(s)and their successors are bound by the Special Permit and its conditions. <br /> AGENT: Steven S. C. Lim, Carlsmith Ball LLP <br /> AGENT ADDRESS: 121 Waianuenue Avenue, Hilo, HI 96720 <br /> PHONE: (Bus.)808-935-6644 (Res.) (Email)slim@carlsmith.com <br /> Please indicate to whom original correspondence and copies should be sent. <br /> ORIGINAL: Steven S. C. Lim COPIES: Irene Carpenter, HHC <br /> Marc Botticelli, PMI <br /> 73-5577 Kauhola Street #4 <br /> Kailua-Kona, HI 96740 <br />