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<br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />SHORELINE SETBACK VARIANCE APPLICATION <br />COUNTY OF HAWAIʻI PLANNING COMMISSION (Type or legibly print the requested information) <br />APPLICANT(S): <br />APPLICANT’S SIGNATURE: DATE: <br />ADDRESS: <br />LIST APPLICANT’S INTEREST (if not owner): <br />PHONE: (Bus.) (Res.) (Email) <br />REQUEST: <br />TAX MAP KEY(S): ZONING: <br />SIZE OF PROPERTY / AREA OF REQUESTED USE: <br />LANDOWNER(S): <br />FEE SIMPLE LANDOWNER(S) WRITTEN AUTHORIZATION (may be provided by letter with the below statement included): <br />DATE: <br />DATE: <br />AGENT: <br />AGENT ADDRESS: <br />PHONE: (Bus.) (Res.) (Email) <br />Please indicate to whom original correspondence and copies should be sent. <br />ORIGINAL: COPIES: