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M'V OIh <br /> ...‘ \-...---17.,,.;.,.......- : <br /> County of Hawaii <br /> BOARD OF APPEALS <br /> Aupuni Ccntcr • 101 Pauahi, Suite 3 • Hilo,Hawai`i 96720 <br /> (808)961-8288 • Fax(808)961-8742 <br /> GENERAL PETITION FOR APPEAL OF <br /> DECISIONS BY PLANNING DIRECTOR OR PUBLIC WORKS DIRECTOR <br /> (Type or legibly print the requested information. See instructions attached.) <br /> TYPE OF PETITION (check one): <br /> El Appeal Decision of the Planning Director 0 Appeal Decision of Director of Public Works <br /> SUBJECT PROPERTY (land in question): <br /> Tax Map Key (TMK): Numerous,incl.8.1.004:07oa8-1-030:055 Area of Property: Approx. 1,260 acres <br /> State Land Use <br /> Designation: Agricultural County Zoning: A-1a <br /> Street Address: Numerous <br /> APPELLANT INFORMATION: <br /> Name(s): 1250 Oce nside, LLC <br /> Signature(s): — Date: ...cAlijr _..2... --- <br /> Mailing <br /> ZMailing Address: do Carismith Ball LLP(attention Derek B.Simon), 1001 Bishop Street, Suite 100, Honolulu, HI 96813 <br /> Telephone: 808-523-2589 Email: dsimon@carlsmith.com <br /> Interest in Subject 1250 Oceanside, LLC is the developer of Hokuli'a, which is the subject of <br /> Property: the Declaratory Order being appeal. <br /> LANDOWNER INFORMATION: <br /> Name(s): Same as above. <br /> Signature(s)1: Date: <br /> Mailing Address: <br /> Telephone: Email: <br /> APPELLANT REPRESENTATIVE INFORMATION (leave blank if not applicable): <br /> Name(s)/Title(s): Derek B. Simon <br /> Signature(s): Date: May 28, 2024 <br /> Mailing Address: 1 01 Bishop Street, Suite 2100, Honolulu, HI 96813 <br /> Telephone: (808) 523-2589 Email: dsimon@carlsmith.com <br /> Not required if the Landowner is not the Appellant- <br /> \\COH01\planning\public\BOA\Forms and Labels\Application Forms\APPEAL 2021-07-PL or PW Dir.docx Revised April 2021 <br />