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SPECIAL MANAGEMENT AREA USE PERMIT ASSESSMENT APPLICATION <br /> COUNTY OF HAWAII <br /> PLANNING DEPARTMENT <br /> APPLICANT(S): <br /> APPLICANT(S) SIGNATURE: DATE: <br /> APPLICANT'S ADDRESS: <br /> TELEPHONE -Business: Residence: <br /> LANDOWNER(S): <br /> LANDOWNER(S) SIGNATURE: DATE: <br /> LANDOWNER(S) ADDRESS: <br /> TAX MAP KEY(S): <br /> NATURE OF DEVELOPMENT/ACTIVITY <br /> TOTAL COST/FAIR MARKET VALUE <br /> OF DEVELOPMENT: $ <br /> DATE OF APPLICATION: <br />