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PETITION FOR STANDING IN A CONTESTED CASE HEARING <br /> (Page 2 of 2) <br /> D. Are you a person or persons descended from native Hawaiians who inhabited the <br /> Hawaiian Islands prior to 1778, who practiced those rights which were customarily and <br /> traditionally exercised for subsistence, cultural, or religious purposes? <br /> Yes X No <br /> If the answer is "yes", please submit any genealogical evidence and historical evidence <br /> showing the exercise of those rights to support your statement: <br /> I am a native Hawaiian descended from native <br /> Hawaiians but my Hawaiian ancestory is not an issue here. <br /> Petitioner's Signature <br /> STATE OF HAWAII ) <br /> SS. <br /> COUNTY OF HAWAII ) <br /> On this 121�h day of M CIY , 20 2 1 , before me personally appeared <br /> 1Je� nj-j Wi I I i c-m S i Iy6L , to me known to be the person described in and who executed <br /> the foregoing instrument, and acknowledged that he executed the same as his free act and deed. <br /> ``\.`�`aPo1A <br /> ` ? B,9 'ryi <br /> * 00 fir; a NoALA. hj a- 4-J <br /> Notary Publ tate of Hawaii <br /> My commission expires: -7/p'g /20 a�- <br /> ii� <br /> Wd*AAWW 8UC CERTIFICATION <br /> Nadia Abaya Third Judicial Circuit Doc. Description: tion -r <br /> ` <br /> LSi-Gw Z Cu ��u�uui►��►nny������ <br /> , PRY PG y9 <br /> tiNo. of Pages:�5_Date of Doc. a:t =* Z n. <br /> Appendix A <br /> 47 2 d 7- N�, Na 18-378 <br /> Notary i ure Date <br /> \� <br /> u►nnuna <br />