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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): ��C�t���C1 :4ia�g � `�`'`1`1 Ly�11,=�Ui•,�$ �''�A �S� ��1 '-CA-i✓ <br /> APPLICANT'S SIGNATURE: - DATE: <br /> ADDRESS: Ul I\-AAMA�:AiAoA 1-11 c-14v` -A D- ieg <br /> LIST APPLICANT'S INTEREST (if not owner): k�-N'7'a1�� <br /> PHONE: (Bus.) �b Y5c1 -0(-010(Res.) (Email) <br /> REQUEST: i C A r` LS'Z -PE-kLr\An', (y-5G cv:�) 16 Reo w4z <br /> [L-T4 Lh-4S -T-o (\Je+,,) dt�Ajey._, <br /> lj$E y+c(Aj�ki rc �1ew ,arc, a �c-S <br /> TAX MAP KEY(S): l'.5)b'b- OC>`L . C='�,, ZONING: <br /> t 3 G6L 31' / <br /> SIZE OF PROPERTY /AREA OF REQUESTED USE:[3)tc cut. I-N(WACA'. <br /> LANDOWNER(S): \j4A1lr c7k-,DA <br /> FEE SIMPLE LANDOWNER(S) WRITTEN AUTHORIZATION <br /> (may be provided by letter with the below statement included): <br /> DATE: Z 2"Z 2U-4 <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: Wr."ticajon, CtwY'oCOPIES: c:�fticr�.�L_` >` %t� ��,L� <br />