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DocuSign Envelope ID:CB676BDB-3A6D-4713-83CD-D4AA53DDBAC9 <br /> SPECIAL MANAGEMENT AREA USE PERMIT APPLICATION <br /> COUNTY OF HAWAII <br /> PLANNING DEPARTMENT <br /> (Type or legibly print the requested information) <br /> APPLICANT: Ryan Pastorek Dp&AIgP,gptorek DocuSignedby: <br /> > APPLICANT'S SIGNATURE: i �aAA' Pod6 tk DATE: 3/7/2024 <br /> ADDRESS: 533 Fernwood Pacific Drive, Topanga, CA 90290 <br /> 9816 Debra Drive, River Ridge, LA 70123 <br /> Managing Member of Opunaha LLC <br /> LIST APPLICANT'S INTEREST IF NOT OWNER: & landowner <br /> LIST PRINCIPAL(S) INCLUDING NAMES OF MAIN OFFICERS:Opunaha LLC: Ryan Pastorek <br /> PHONE:(Bus.) 310-248-3147 (Res.) 310-623-2312 (Fax) <br /> LANDOWNER(S): Opunaha LL . Pastorek DocuSignedby: <br /> > LANDOWNER SIGNATURE(S): °U^� �aSfoVt,� ATE: 3/7/2024 <br /> B996@EF�D4h4D8... <br /> (May be by letter) <br /> LANDOWNER(S) ADDRESS: 533 Fernwood Pacific Dr, Topanga, CA 90290 <br /> 9816 Debra Drive, River Ridge, LA 70123 <br /> REQUEST:To obtain a SMA Major Permit in order to build one single family dwelling and <br /> associated infrastructure on each of the two adjacent shoreline parcels within the SMA <br /> TAX MAP KEY: (3) 1-5-010:026 & (3) 1-5-010:027 ZONING: A-1 a <br /> SIZE OF PROPERTY OR AFFECTED AREA(S): 7.45 acres (026) & 3 acres (027) <br /> AGENT: Land Planning Hawaii LLC <br /> ADDRESS: 194 Wiwoole Street, Hilo, HI 96720 <br /> TELEPHONE:(Bus.)_ (808) 333-3393 (Res.) (Fax) <br /> Please indicate to whom original correspondence and copies should be sent. <br /> ORIGINAL: Agent COPIES: Applicant <br />