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USE PERMIT APPLICATION <br /> COUNTY OF HAWAII <br /> PLANNING COMMISSION <br /> (Type or legibly print the requested information) <br /> APPLICANT(S): ��Gkok f c_ -De-11,11n <br /> APPLICANT'S SIGNATURE: DATE: 3� z�2� <br /> ADDRESS: (j] - 10,J <br /> LIST APPLICANT'S INTEREST (if not owner): <br /> PHONE: (Bus.) 6C76 5'5`1 -OL010(Res.) (Email) <br /> REQUEST: —10 C AA c� LSA 7�tZ�M`r t�3SG �}�l� ' c3 �,+' woe <br /> 'T-0 pSle <br /> TAX MAP KEY(S): r'Jy b`b- ZONING: <br /> (SX,-6 <br /> SIZE OF PROPERTY /AREA OF REQUESTED USE:[3)b .` 1��Kfi�•�Gt � f i•t �� 'y <br /> LANDOWNER(S): \j4A 1V,0LeA 15.4j;- K-i CNi-I-t-* <br /> FEE SIMPLE LANDOWNER(S) WRITTEN AUTHORIZATION <br /> (may be provided by letter with the below statement included): <br /> DATE- Z2. <br /> Z 2o-' <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: UQc�Akt,"Jon. e:kW.', COPIES: � c:,���, �+c,•�aL `���`ic1'�1 �V1.c_ <br /> Planning Dept. <br /> Exhibit <br />