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County of Hawaii Planning Department <br />Website: www.planning.hawaiicounty.gov • Email: planning !,hawaiicounty.gov <br />East Hawai`i Office • 101 Pauahi Street, Suite 3 • Hilo, Hawaii 96720 <br />Phone (808) 961-8288 • Fax (808) 961-8742 <br />West Hawai`i Office • 74-5044 Ane Keohokalole Hwy • Kailua-Kona, Hawaii 96740 <br />Phone (808) 323-4770 • Fax (808) 327-3563 <br />APPLICATION FOR PLAN APPROVAL <br />LEGAL <br />LANDOWNER(S): Waikoloa Baptist Church <br />LANDOWNER <br />SIGNATURE(S): DATE: <br />SIGNER(S) (Please print): <br />MAILING ADDRESS: 68-3670 Paniolo Avenue <br />CITY: Waikoloa <br />TITLE: <br />(iffor a Corp, LLC, Trust, or Partnership) <br />STATE: HI ZIP CODE: 96738 <br />PHONE NO.: 808-315-6406 EMAIL: trthompson_11@yahoo.com <br />Any entity acting on behalf of the recorded landowner must also provide written/signed authorization. <br />Owner Authorization YES <br />APPLICANT (Please print): Steven Sung on behalf of Horizon Tower letter attached? <br />APPLICANT'S SIGNATURE: Steven Sung <br />❑ NO <br />APPLICANT'S INTEREST, IF NOT OWNER: Lessee <br />PRINTED NAME OF SIGNER: Steven Sung TITLE: <br />MAILING ADDRESS: 2333 Kapiolani Blvd #3211 <br />CITY: Honolulu <br />(if for a Corp. L.L.C., Trust or Partnership) <br />PHONE NO.: 808-223-0323 <br />STATE: HI ZIP CODE: 96826 <br />PROPOSED USE: New Telecommunication Facility <br />EMAIL: steven.sung8@gmail.com <br />STREET ADDRESS OF PROPERTY: 68-3670 Paniolo Avenue <br />CITY: Waikoloa <br />STATE: HI ZIP CODE: 96738 <br />TAX MAP KEY: (3) 6-8-002:031 LAND AREA: 11.325 AcresZONING: RS -10 <br />STATE LAND <br />USE DISTRICT: Agricultural <br />SPECIAL MANAGEMENT AREA: ❑ YES 2 NO <br />• For Agricultural Tourism: Please see attached Hawai`i County Code §25-2-75, which lists the required information to be <br />submitted with your Plan Approval Application. <br />• For Telecommunication Antennas: Please see attached Hawai`i County Code §25-4-12 for required information to be <br />submitted with your Plan Approval Application. <br />