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FOR OFFICE USE ONLY <br /> Receipt Number: <br /> 7;4 .,;.. County of Hawaii Planning Department Reviewed By: <br /> STVR#: <br /> • ‘`�,:• www.hiplanningdept.com - planning(a�hawaiicounty.gov NUC#(if Applicable) <br /> . <br /> • * &~ "�f�.;/''' ►t East Hawaii Office• 101 Pauahi Street,Suite 3•I Lilo,I lawai`i 96720 <br /> - = Phone(808)961-8288 - Fax(808)961-8742 <br /> •,,'!ti os•M��!*• West llawai`i Office•74-5044 Ane Keohokalole l lwy•Kailua-Kona,Etawai`i 96740 <br /> Phone(808)323-4770 • Fax(808)327-3563 <br /> SHORT-TERM VACATION RENTAL (STVR) REGISTRATION <br /> AND/OR NONCONFORMING USE(NUC)APPLICATION <br /> This is a form for a: STVR Registration only-$500 fee <br /> STVR Registration+Nonconforming Use Certificate-$500 fee <br /> APPLICANT(Please Print): <br /> Richard Michael Standke <br /> APPLICANT'S INTEREST,IF NOT THE OWNER: /W <br /> SIGNATURE: DATE: 7 2, 2a/ <br /> SIGNER Please Print): Richard Michael Stande TITLE: Owner <br /> MAILING ADDRESS: 20318 Ruston Road <br /> CITY: Woodland Hills STATE: CA • <br /> 91364 <br /> PHONE NO.: EMAIL: <br /> Please provide information for all owners of the STVR property. A Landowner Addendum is attached, if needed. <br /> LANDOWNER(Please Print): <br /> Richard Michael Standke <br /> SIGNATURE: DATE: 7/2,l27l9 <br /> SIGNER(Please Print : Richard Michael Standke TITLE: Owner <br /> ) <br /> MAILIN ADDRESS: 20318 Ruston Road <br /> G <br /> Woodland Hills CA 91364 <br /> CITY: STATE: ZIP CODE: <br /> PHONE N EMAIL: <br /> REACHABLE PERSON(Please Print): Renee Boyce <br /> MAILING ADDRESS: <br /> P.O. Box 711617 <br /> Mountain View 96771 <br /> CITY.• /HI ZIP CODE: <br /> PHONE NO.: H H w i n e ss Home/Mobile <br /> EMAIL: <br /> STVR STREET ADDRESS: 14 Oeoe Street <br /> Hilo 96720 <br /> CITY: /HI ZIP CODE: <br /> FOR OFFICE USE ONLY: <br /> OTAX MAP KEY: (3) 2 I - Ca l g :0(3 ' 0 000 ZONING: is S— I 5 <br /> SLU: () If Ag,Date of Subdivision: LUPAG: <br /> The submittal of an incomplete application will delay o fcial acceptance by the Department. Furthermore,additional information may be requested by the Department <br /> during the course of the review process and be deemed valid.Lack of required information will render the application incomplete,and it will not be processed <br /> APPELLANT EXHIBIT- 11pg. 2of22 <br />