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• `� ='��` BUILDING DIVISION - DPW DECLARATION# <br /> COUNTY OF HAWAII PW.AG2022-00034, 35, <br /> '•a, 101 Pauahi Street Suite 7 <br /> Hilo, Hawaii 96720 f X13b �Z <br /> Ph: Hilo Office (808) 961-8331 Kana Office (8081323-4720 RaLl <br /> FINAL AS-BUILT NOTIFICATION <br /> HRS SECTION 46-88 RELATING TO AGRICULTURAL STRUCTURES <br /> "THIS FORM MUST BE SUBMITTED UPON COMPLETION OF CONSTRUCTION. <br /> "*r FAILURE TO SUBMIT THE FORM WILL CAUSE THE HRS 46-88 DECLARATION OF COMPLIANCE TO BE DECLARED INVALID AND SHALL VOID THE BUILDING PERMIT ANDWOR <br /> BUILDING CODE EXEMPTION. ASINGLE AS-BUILT NOTIFICATION FORM MUST BE SUBMITTED IN COMPLIANCE WITH BOTH OF THE FOLLOWING DEADLINES: <br /> 1. SUBMIT FORM WITHIN 1 YEAR OF DECLARATION OF COMPLIANCE ACCEPTANCE DATE. <br /> 2. SUBMIT FORM WITHIN 30 DAYS OF COMPLETION,OCCUPANCY,OR USE OF STRUCTURE. <br /> PROJECT/PROPERTY INFORMATION <br /> PROJECT NAME U, Pa <br /> ADDRESS tD 5 ��WG4I Sf 1✓V 1+ <br /> TAX MAP KEY ` �J 5 <br /> AS-BUILT CONDITIONS OF STRUCTURE <br /> USE OF STRUCTURE IN ky� O 6t Pa J <br /> q <br /> DISTANCE FROM NEAREST STRUCTU r (G)(m n.15 ft.) TOTAL FLOOR AREA (sq.ft.) <br /> DIMENSIONS OF STRUCTURE I Length 9D (ft.)x Width ZE) (fr.) <br /> AGGREGATE FLOOR AREA OF ALL EXEMPTED STRUCTURES CLAIMED UNDER HRS 46-88 DOD (sq.ft.) <br /> OWNERS CERTIFICATION/DECLARATION <br /> • I certify that the as-built conditions of the structure are in full compliance with the requirements and provisions of HRS Section 46-88. <br /> CHECKTHEAPPLICABLE BOX BELOW: <br /> J The as-built location of the structure is as shown in the original site plan. <br /> The as-built location of the structure has changed from what is shown in the original site plan. If th-s box is checked,you must do the following: <br /> • Provide minimum 8-1/2'x11"site plan showing the as-built location of structure,property lines,other structures,setbacks to other structures,dimensions of <br /> structure,and any other pertinent information.Attach extra sheets,if necessary. <br /> Property Owner: I G D P/ hda <br /> Address: wail' <br /> Phone No- U Email- <br /> Signature Printed Name: <br /> The project is not required to comply with county,state,and federal floodplain management development standards.ordinances,codes,statutes,rules,and regulations pursuant to the <br /> National Flood Insurance Program requirements. <br /> Hawaii County is an Equal Opportunity Provider and Employer Rev.3/22 <br />