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2024-03-14 Application Packet for Agencies Review (PL-USE-2024-024)
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2024-05-22 Leeward
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Item #2 Waikoloa Lutheran Church/Erick Jacobson (PL-USE-2023-000018)
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PL-USE-2023-000018
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6-8-002:056
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PL-USE-2024-000024
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2024-03-14 Application Packet for Agencies Review (PL-USE-2024-024)
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Last modified
3/14/2024 9:13:30 PM
Creation date
3/14/2024 8:59:51 PM
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Plan Doc Template
Related Permits
680020560000
Permit Number
PL-USE-2024-000024
Parcel Number
680020310000
Description
Application packet for agencies review
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USE PERMIT APPLICATION <br /> COUNTY OF HAWAI`I <br /> PLANNING COMMISSION <br /> (Type or legibly print the requested information) <br /> APPLICANT(S): Rcllci-r;c1 P,2N:",5 C 04 -U - <br /> APPLICANT'S SIGNATURE: DATE: '31 -[ ZO7, 'I <br /> ADDRESS: i4i c-.Nv-vtA <br /> LIST APPLICANT'S INTEREST (if not owner): _ J'JN�Z-Vs, 17-cfl,,�k��� Cl�k;"-- <br /> PHONE: (Bus.) 60'0 3YI -W 10(Res.) (Email) <br /> REQUEST: '1 C A LSD -J)EV6W (0-5G -ICA) -vo yzC-t`4C4z <br /> "ts,l V- 0 .�(z-Cy fl r4 t"-A-S •T-0 t- <br /> ttiEt t1C6 Nitew we, <br /> TAX MAP KEY(S): l�'Jn�to`b- OO'L . C 5�- ZONING: <br /> SIZE OF PROPERTY /AREA OF REQUESTED USEJ-3)b-& <br /> LANDOWNER(S): 'V4AI9�ok-ZA ?>Aj;'VieT- CA,-� <br /> FEE SIMPLE LANDOWNER(S) WRITTEN AUTHORIZATION <br /> (may be provided by letter with the below statement hickided): <br /> L-��� DATE <br /> �3F "rc na z n � ' �+t-►� : 2- Z2 20 <br /> DATE: <br /> AGENT: <br /> AGENT ADDRESS: <br /> PHONE: (Bus.) (Res.) (Email) <br /> Please indicate to whom original correspondence and copies should be sent. <br /> ORIGINAL: Uc� tt c:,to �ti� -iS t` G'�vVv�r COPIES: � t :;mac�. � <br /> - t <br />
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