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SPECIAL PERMIT APPI,ICATION, <br /> COUNTY OF HAWAII <br /> PLANNING DEPARTMENT <br /> (Type or Print the requested information) <br /> 2 � , F 2. 3 f <br /> APPLICANT L /t t'L � L� )C L-r <br /> APPLICANT'S SIGNATURE: � I� DATE <br /> �/Z <br /> ADDRESS: - '4 1 q-1 L"i �) —1 evil <br /> LIST APPLICANT'S INTEREST IF NOT OWNER: D L�.; <br /> TELEPHONE: (Bus.) "N rI (Home) (gam) <br /> REQUEST: C, Pe t'�'� .e � V w� � <br /> h Gl ry d �ti •, +,v V-e c, 6 a. <br /> TAX MAP KEY: ZONING: <br /> AREA OF PROPERTY/AREA OF REQUESTED USE_ D ,1 la � 8 c1 C rev s / o`� �-I�j <br /> LANDOWNER: <br /> LANDOWNER'S SIGNATURE: � /�fit' ./ ,, l� �v DATE: �o J Z �1 <br /> (may be by letter) <br /> LANDOWNER'S ADDRESS: _ 1 S ' 3�Z O T�) Va(c� ►v n R <br /> lmmmmbdw� L.al ..D <br /> c 7 R <br /> AGENT: <br /> ADDRESS: <br /> TELEPHONE: (Bus.) -(Home) <br /> (Fay) <br /> Please indicate to whom ori ginal cornespondence and copies Should be sent to: <br /> ORIGINAL A-1C e- COPIES: 2 0 ,q 16 d� L- <br />