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■ <br />SPECIAL PERMIT APPLIlCA'd'ION <br />COUN'77Y OF HAWAII <br />PANNINi_ � <br />&. E]PAtTNdEN'II' <br />(Type oT Prim the requested information) <br />APPLICANT <br />APPLICANT'S SIGNATURE: <br />ADDRESS: <br />` 1111 <br />1 I I u v K40, <br />HG 3 Bo L03 X K u fjl (*i�v�4�i -RZZ�t <br />LIST APPLICAN'T'S DITEREST IF NOT OWNER: <br />TELEPHONE- us - 41M ..(Home)r _ YA R (FaAX) q 12 <br />ATE: Is MAL6b 13 <br />REQUEST: &fatd <br />FQM+:k <br />o.pera& <br />a co mm e, I buy i nc.�s <br />on buc,K <br />rD►rovtdc�s -frn � <br />communrhi <br />TAX MAP KEY-3 ,; <br />HE '' <br />ZONING: <br />T' <br />AREA OF PROPERTY /AREA OF REQUESTED USE _ <br />� i�C�E / O.`N <br />�tGK� I I (ig.�:� <br />LANDOWNER: Oil <br />LANDOWNER'S SIGATA <br />AI � <br />DATE: �3 IqArch <br />(Mm be by letter) <br />LANDOWNER'S ADDRESS: �5�� <br />b } � <br />AIAWWarl pkrdat) <br />PArk <br />Ar, 3 BN 14113, Ktaau <br />41 <br />q04�1 <br />-, UZI <br />AGENT: <br />ADDRESS: <br />TELEPHONE: (Bus.) <br />(Horne) (Fax) <br />Please indicate to whom original cornespondence and copies should be sent to: <br />ORIGINAL il neLo rrit ia <br />l�mond COPIES:_ <br />'Pa1G 1. <br />