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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 OF5AWAU ) <br /> Woop ) SS. <br /> COUNTY OF/H� ) <br /> On this it _day of 1L 20Z, before me personally appeared <br /> -JGL v t ct- OCCD h 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 /> �,a•n, JEANNE J MAY rotary Public, State Ty-Q <br /> _�� Notary ID#132268464 <br /> +' My Commission Expires <br /> Y��O```"~ November 21,2027 r, <br /> My commission expires: A p\( a7 da'Z <br /> Appendix A <br />