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County of Hawaii <br />DEPARTMENT OF FINANCE <br />Vehicle Registration & Licensing Division <br />101 Pauahi Street, Suite No. 5, Hilo, Hawaii 96720 -4224 <br />(808) 961 -8351 • (808) 961 -8330 (FAX) <br />Supplement to Application for Firearms Business License <br />Name of Business: <br />Type of Business: <br />Sole Name of Proprietor: <br />Proprietorship <br />Partnership Names of All Partners: <br />Corporation Names of All Officers: <br />Address of Sales Location: <br />Mailing Address: <br />Tax Map Key: <br />Signature & Title of Owner Date <br />To Be Completed by the County Planning Department: <br />County Zoning: <br />Conditions: <br />❑ Permitted ❑ Denied <br />Planning Director Date <br />Hilo Planning Department Kona Planning Department <br />101 Pauahi Street, Suite 3 74 -5044 Ane Keohokalole Hwy., Bldg E <br />Hilo, Hawai'i 96720 Kailua Kona, Hawai'i 96740 <br />Ph: 808 - 961 -8288 Ph: 808 - 323 -4770 <br />Note: Applicant must complete the upper half of this form and have the Planning <br />Department complete the lower half, as zoning certification is required before a license to <br />sell firearms may be issued. This form must also be submitted with the Business & <br />Occupation License Application. <br />For Office use only: Sequence No. New No. Issued Previous No. Issued <br />County of Hawai'i is an Equal Opportunity Provider and Employer. Complaints of discrimination should be sent to <br />USDA, Director, Office of Civil Rights, Washington, DC 20250 -9410. Or call (202) 720 -5964 (Voice and TDD). <br />Last Updated 07/27/12 <br />