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A filing fee of five hundred dollars ($500) payable to the County Director of <br /> � Finance is included with this application. <br /> 2: A signed original and twenty (20) copies of the completed application form with <br /> � attachments is included with this application. <br /> r 3: An original and twenty (20) copies of the following background information on <br /> � the subject request is included: <br /> � 3A: detailed written description of the proposed use a statement of objectives <br /> � and reasons for the request, including proposed hours of operation and numbers of <br /> � employees/clientele. <br /> � Proposed use: Proposed dental Clinic. , <br /> � Objective: Provide health services for an underserved community. <br /> � Reasons for the request: We selected this location because at present there are <br /> � no dental services available from Keaau to Pahala. ( Mountain View, Kurtistown, <br /> � Glenwood, Volcano, and Pahala.) <br /> � f Proposed hours o operation: 2 days a week from Sam to 5 pm initially, culminating <br /> r Y n9 <br /> • in 5 drys a week 8 am to 5 pm, after 2-4 years. <br /> � Employees : 3 <br /> � Clientele, 8-10 n day <br /> r The dental clinic will have 2 operatories, a business office, a dental laboratory, <br /> � and n sterilizing room for autoclaving and set-up of trays. A lunchroom is provided <br /> � for staff. <br /> Time frame:frame: I have been collecting equipment or 3 ears and the arro ement o <br /> ng f <br /> � the rooms in this dwelling are perfectly suited for a dental office,.so no major <br /> • renovations are necessary. Once we receive our permit, we could' be operational in <br /> 3 to 6 months. PefZMITIED ELEC�T¢►CRL UPGRADE qo ?BID Arne SEQ.- <br /> � VtGE 4-11- zoiy 6%? Sw.A"orO EL£cT mtC L.L.G . <br /> r Costs for construction: 101000$ parking lot <br /> � 4000$ equipment hookup <br /> a 10,000 supplies and inventory. <br /> i I will not need to borrow money for this project. It is on hand. <br />