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COUNTY OF HAWAII <br /> BOARD OF APPEALS <br /> GENERAL PETITION FOR APPEAL OF DECISIONS <br /> BY DIRECTOR OF PUBLIC WORKS <br /> (Type or legibly print the requested information) <br /> APPELLANT : <br /> APPELLANT ' S SIGNATURE : DATE : <br /> ADDRESS : <br /> TELEPHONE : (Bus . ) (Home) <br /> APPELLANT ' S INTEREST IN THE PROPERTY: <br /> APPELLANT ' S NATURE OF APPEAL AND REQUEST : <br /> LAND OWNER: <br /> TAX MAP KEY: (land in question) AREA OF PROPERTY: <br /> STATE LAND USE DESIGNATION: COUNTY ZONING: <br /> STREET ADDRESS OF PROPERTY: <br /> APPELLANT ' S REPRESENTATIVE : <br /> REPRESENTATIVE ' S SIGNATURE : DATE : <br /> REPRESENTATIVE ' S ADDRESS : <br /> TITLE : TELEPHONE : (Bus . ) <br /> THIS PETITION MUST BE ACCOMPANIED BY A FILING FEE OF TWO HUNDRED FIFTY <br /> DOLLARS ($250) PAYABLE TO THE COUNTY DIRECTOR OF FINANCE AND: <br /> 1. The Original and ten (10) copies of this completed petition with the following <br /> attachments: <br /> a. A description of the property involved in the appeal in sufficient detail for <br /> the public to precisely locate the property. <br /> b. A statement explaining the nature of the appeal and the relief requested. <br /> C. A statement explaining: <br /> (i) How the decision appealed from violates the law; or <br /> (ii) How the decision appealed from is clearly erroneous; or <br /> (iii) How the decision appealed from was arbitrary or capricious, or <br /> characterized by an abuse of discretion or clearly unwarranted exercise <br /> of discretion. <br /> d. A clear and concise statement of any other relevant facts. <br /> 2. Proof of Service by the Appellant on the Director of Public Works. <br /> 3. A list of the names, address and tax map keys of all owners of property within three <br /> BOA (P:\WP60\FORMS\BOA\AppealsDPW11-24-2003 <br />