PL-PLA-2023-000264 12.09.23 EPIC SUBMITTAL

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County of Hawaii Planning Department www.hiplanningdept.com planning@hawaiicounty.gov East Hawai`i Office • 101 Pauahi Street, Suite 3 Hilo, Hawai`i 96720 Phone (808) 961-8288 Fax (808) 961-8742 West Hawai`i Office • 74-5044 Ane Keohokalole Hwy Kailua-Kona, Ha a. `i 96740 Phone (808) 323-4770 Fax (808) 327-3563 APPLICATION FOR PLAN APPROVAL LEGAL LANDOWNER(S): Waikoloa Lutheran Church LANDOWNER'S SIGNATURE(S): DATE: 12/1/2023 PRINTED NAME OF SIGNER(S): Erik Jacobson TITLE: Treasurer MAILING ADDRESS: PO BOX 383046 (zf for a Coip.,LLC, Trust or Partnership) CITY: Waikoloa PHONE NO.: STATE: HI ZIP CODE: 96738 EMAIL: steven.sung8@gmail.com Any entity acting on behalf of the recorded landowner must also provide written/signed authorization. APPLICANT (please print): APPLICANT'S SIGNATURE: Steven Sung on behalf of Waikoloa Lutheran Church and HELCO Written/signed letter of authorization attached: ❑ YES APPLICANT'S INTEREST, IF NOT OWNER: Agent PRINTED NAME OF SIGNER: Steven Sung MAILING ADDRESS: 2333 Kapiolani Blvd #3211 TITLE: Site Acquisition Consultant (if for a Corp. L.L.C., Trust or Partnership) CITY: Honolulu STATE: HI ZIP CODE: PHONE NO.: (808) 223-0323 EMAIL: steven.sung8@gmail.com 96826 PROPOSED USE: HELCO to add (1) pad -mounted Electrical Switchgear. STREET ADDRESS OF PROPERTY: 68-3670 Paniolo Avenue CITY: Waikoloa STATE: HI ZIP CODE: 96738 TAX MAP KEY: (3) 6-8-002:056 LAND AREA: 45,999 sf ZONING: RS -1 STATE LAND USE DISTRICT: Agricultural SPECIAL MANAGEMENT AREA: ❑ YES ❑■ NO • For Agricultural Tourism: please see attached Section 25-2-75 that lists the required information to be submitted with your Plan Approval Application. • For Telecommunication Antennas: please see attached Section 25-4-12 for required information to be submitted with your Plan Approval Application.