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COR-14-095091
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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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6-8-002:031
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COR-14-095091
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Entry Properties
Last modified
3/8/2019 4:50:49 PM
Creation date
10/31/2014 3:50:36 PM
Metadata
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Template:
Plan Doc Template
Document Date
10/29/2014
Permit Number
COR-14-095091
Parcel Number
680020310000
Description
USE PERMIT APPLICATION, CHECK #4172, $500.00, REQUESTED USE TELECOMMUNICATION FACILITY, RPT CLEARANCE, VERIZON WIRELESS
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i I <br /> Letter of Authorization <br /> APPLICATION FOR ZONING,BUILDING AND LAND USE ENTITLEMENETS <br /> Site Name: HI3 Paniolo <br /> Property Address: 68-3670 Paniolo Avenue,Waikoloa,HI 96738 <br /> TMK Number: (3)6-8-002:031 <br /> I/We,the owner(s)of the above described property, authorize Verizon Wireless and their <br /> employees,representatives, agents and/or consultants,to act as an agent on my/our behalf <br /> for the sole purpose of consummating any building and/or land-use permit applications <br /> (s), or any other entitlements necessary for the purpose of constructing and operating a <br /> wireless telecommunications facility. I/We understand that any application may be <br /> denied,modified,or approved with conditions,and that.such conditions or modifications <br /> must be complied with prior to issuance of any building permit(s). <br /> I/We further understand that signing of this authorization in no way creates an obligation <br /> of any kind. <br /> Property Owner(s , C, Date:i,7 <br /> cy. <br /> i <br /> Sign re <br /> !/�i✓v P Yom ✓ . Cao c�LCt'^-C'/� /QS*^ ch,“- <br /> Print Ndme <br />
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