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SPECIAL PERMIT APPLICATTON � <br /> COUNTY OF HAWAII � <br /> n P N T <br /> PUNNING DEPARTI�tENT <br /> ('I�rpe or Print the requested information) • <br /> -'il 7: 2 6 <br /> APPLICANT <br /> 2" <br /> APPLICANTS SIGNATURE: DATE: �O '� • Z C� l�} <br /> ADDRESS: e02• , � 1r�X ��� M <br /> � I <br /> LIST APPLICANT'S INTEREST IF NOT OWNER OW t3ClZ <br /> TELEPHONE: (Bus.) 'i0q•%K•l[17fiome) 16& 4at M(Fax) <br /> REQUEST: <br /> TAX MAP KEY: 3 • t �' � � OZ � pa O'n zorrnvG. AG2%C%A--- LZ Ak-o � <br /> AREA OF PROPERTY/AREA OF REQUE U 1`3 P � ` ��'X «°� • <br /> LANDOWNER: A L Q► . <br /> LANDOWNERS SIGNATURE: DATE: <br /> (May be by letter) <br /> LANDOWNER'S ADDRESS: P.O. ZOY-110 K *C'*1 u V LE� , � � • � <br /> AGENT: r <br /> ADDRESS: � <br /> 1 <br /> TELEPHONE: (Bus.) Monx) (Fax) <br /> Please indicate to whom original correspondence and copies should be sent to: <br /> ORIGINAL COPIES: <br /> M <br /> t <br /> Q 93 Q� t <br /> r � <br />