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........ <br /> ser <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 /> E■ Appeal Decision of the Planning Director ❑ Appeal Decision of Director of Public Works <br /> SUBJECT PROPERTY(land in question): <br /> Tax Map Key (TMK): Numerous,incl.8-1-004-07088-1-030055 Area of Property: Approx. 1,260 acres <br /> State Land Use <br /> Designation: Agricultural County Zoning: A-la <br /> Street Address: Numerous <br /> APPELLANT INFORMATION: <br /> Name(s): 1250 Oce side, LLC <br /> Signature(s): — _ Date: ,,._a 9 .2.19.2-4j1--- <br /> Mailing Address: c/o Carlsmith 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)': Date: <br /> Mailing Address: <br /> Telephone: Email: <br /> APPELLANT REPRESENTATIVE INFORMATION (leave blank if not applicable): <br /> Name(s)/Title(s): Derek B. imp <br /> Signature(s): Date: May 28, 2024 <br /> Mailing Address: 1001 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 /> \\COHO1\planning\public\BOA\Forms and Labels\Application Forms\APPEAL 2021-07-PL or PW Dir.docx Revised April 2021 <br />