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PETITION FOR.. STANDING IN A CONTESTED CASE HEARING <br />(Page 2 of 2) <br />D. Are you a person or persons descended from native Hawaiians who inhabited the <br />Hawaiian Islands prior to 1778, who practiced those rights which were customarily and <br />traditionally exercised for subsistence, cultural, or religious purposes? <br />Yes No <br />If the answer is "yes", please submit any genealogical evidence and historical evidence <br />showing the exercise of those rights to support your statement: <br />.......... �..�._�..�._.._.._�... <br />Petitioner's Signature <br />STATE OF HAWAII ) <br />) SS. <br />COUNTY OF HAWAII ) <br />On this day of 20 , before me personally appeared <br />_..._..... .__..._._ <br />to me known to be the person described in and who executed <br />the foregoing instrument, and acknowledged that he executed the same as his free act and deed. <br />Notary Public, State of Hawaii <br />My commission expires: <br />Appendix A <br />