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COUNTY OF HAWAII <br />PLANNING DEPARTMENT <br />DE MINIMIS YARD ENCROACHMENT APPLICATION <br />(Type or legibly print the requested information) <br />Applicant: <br />Applicant Signature: Date: <br />Address: <br />List Applicant’s Interest if not Owner: <br />Telephone: Email: <br />Landowner(s): <br />Landowner Signature(s): Date: <br />Address: <br />Tax Map Key: <br />Street Address of Property: <br />Zoning: Size of Property: <br />Description of Encroaching Improvement (e.g., dwelling, garage): <br />Description of Corrective Action That Would be Required to Cure Encroachment: <br />Landowner’s Statement: <br />I hearby attest that, to the best of my knowledge and information, the improvements that are the <br />subject of this application were placed without my actual knowledge that those improvements did <br />not meet the minimum yard or open space requirements under the prevailing requirements of the <br />Hawaii County Zoning Code. <br />Landowner’s Signature <br />Landowner’s Signature <br />(See Instructions on Reverse Side)