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h BUILDING DIVISION - DPW -- - - - <br /> COUNTY Oli RAWAl•f <br /> 101 Pauahi Ptrcct, Suftc 7 <br /> f Hilo, Hawai'�96720 <br /> S Ph: Hilo Office(808) 961-8331 K9na Office(SO8) 323-4720 0OCtAKAIJON M ACai'TANCEDATE <br /> DECIARAI'ION OF COMPLIANCE <br /> HRS SECTION 815-88 RELA T ING TO AGRICULTURAL STRICTURES <br /> PROJECT/PROPERl'YINI109 tAT(ON <br /> PROIECTr1AndE '``moi � �.. ---- <br /> U trUx"l - . if y <br /> 61AII,LAND USE DESIGNA11ON ` I I 'p•�r cl�n(ir, ting Ie Land Use Desibnlat(mT1 contact t6 DeinarhnenE of Planning at(&08J 461.8288. <br /> t l _?)_O0 ar� I ` ^Pit i AREA (acres) <br /> STRUCTURE INFORMATION <br /> I1580fSTRUCTURE O sit <br /> CXEAIPTIONNO.(see list opt fellow nS sheus $ (ci 1 �2- STRUf_t URALSP.4N FOR EXEMF'itON5:3812 UNLYJ (ft)tmustbe less than 2S(r.) <br /> L4STANCCFROh1NE•1RCSTSTRUCTURE 1 3` (fr.)(nwl.ISIt) TOTALFLOORAREA <br /> DIMENSIONS of SIRUCIURL lCogth �j t (fl)"Width <br /> AWREUATE FLOOP,AREA OF ALL EXEMPTED STT✓A/U RE5 tLAW1eO uwOLk IMS46•e8 ;q ft.) <br /> Pfewdemmimum8.112-01-sit pt sI, n a proau t ar p efseru Wrc rppeq s, rtaructut Lsat t too euerret.kt,'+Rn+'ant ofsuucturc.a anyot,tryerdaentUnet, <br /> Anacheruastreet%.ifnetessary. � ' r ` ,b -- <br /> COMMfNTS(fordcpatmnnt Vac co+u?: /�A �%,1 r— M% — �• — <br /> (OhUinappmo Wsigwqnesp,kutowb�attilo(DetlatEdonmPublicWorIs, <br /> €NGINEERINGDIVISIONAPPROVAL T <br /> � :•0li I i)f14' <br /> Dare <br /> OWNERS CERTIFICATION/OECLA RATION <br /> I declare thix pro(rct to be exempt front applicable bu,ding pe,mh/code requigenntn s under the pruvisiwis el FIRS Smfon 4v-eH.I have read and fully understand MRS 46.88 and certify <br /> that the protect is in compliance. I <br /> 1. I Lvlderswrid that this tceemption only apRltes locerwin hudding pc,witfcudc requiremems.I shat)obtain ill other reg0irod p,tr mts and approvnlp and shall comply with all <br /> applicable codes and latus associated wit b this develop,nent,which may Include and not he limited to Special to+a lcn,em Arca,Flrod Hatard.electrical,plumbing,grading, <br /> dnvewai,,woak irk CounLl,/$tate riglq of+ys,fire,waitew.Ittr,and Departmcns of Health reyuitemems <br /> 2. 1 understanit that the issuance of a dectaraoun numbtr by for Cuunly should not to taken to mean that compliance with HRS•i6 HEI leas been confirmed,and that it is my sole <br /> responsib(fity to c4nCusn eomplianrr..TltelState ur Caunoy sha11 nqi tic liable Iaf any claims arising from ranstruction Qflxvldmgg,stlumves.at appurtenances thereto exempt <br /> from the building cede and peilnining pr i(ess as deVOCOMPLIANCE <br /> Wibed in I IRS-16-08. <br /> EmsAdtffe01, "!" i Q r Ok � !limc NCmai( t o p rD GaS J h I h G ! 'Cz1SignatuPrirrtCd hdmc' 1 C 1) ' CAWSTC4N$YRUCTION AFINATIONFORMmust ewbniuednponcomplcnanofcanstrucoun.Faikrtroiuhmitthe orchis <br /> DECLAANCE to he declared INVALIDand s`,allVOIDthe budding permitandlor code exemption.A single Final As•Built <br /> No6fiwbmitted in compliance ivith both of the following deadlines: <br /> 2 Submit Ill Iorm within Y year of Declaration of Compliance acccTiTance date. <br /> 2. Submit 1plln u•iihln 30 Jays of rompletinn,occupancy.or use e(sttuciure. <br /> I <br /> Hatjalai County is an Equal Opportunity Provider and Employer Rev.3/22 <br />