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SPECIAL PERMIT APPLICATION <br />COUNTY OF HAWAII <br />PLANNING COMMISSION <br />(Type or legibly print the requested information) <br />APPLICANT(S): <br />APPLICANT'S SIGNATURE;Ao,4Aa .L,L -Ak) DATE: % ",V `,2 <br />ADDRESS: I <br />LIST APPLICANT'S INTEREST (if not owner): <br />PHONE: (Bus.) 7o a 3.�o--%9%pV(Res.) <br />REQUEST: <br />(Email) <br />PS <br />TAXMAPKEY: (3) 7'"k/'Oo& -"/6 ZONING: C'gricGtlheral <br />SIZE OF PROPERTY / AREA OF REQUESTED USE: <br />LANDOWNER(S): <br />FEE SIMPLE LANDOWNER(S) WRITTEN AUTHORIZATION <br />(may be provided by letter with the below statement included): <br />1l - DATE' c LL <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:�j e 1' <br />AGENT ADDRESS: 0 / <br />PHONE: (Bus.) <br />(Res,) (Email) ` I planning DEFT;. <br />C QA,) -C Exhibit 1 <br />Please indicate to whom original correspondence and copies should be sent, <br />ORIGINAL: / A'eiz 1')(a t'/'— COPIES:g f '/L-l`C. OI Ckl'opz./ <br />Planning Dept. <br />Exhibit ---j— <br />