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HomeMy WebLinkAboutCCH PETITION FOR THOMAS LOUDAT (PL-CCH-2022-001) PETITION FOR STANDING IN A CONTESTED CASE HEARING / (Page 1 of 2) NAI�IE: /V,9 lha6 ADDRESS: TRK PHONE NO.: L1 i c2 APPLICANT/DOCKET NO A. Is your interest in this matter clearly distinguishable from that of the general public? Yes No If the answer is "yes", please explain: If the answer is "no", please explain how the proposed action will nevertheless cause you actual or threatened injury: B. Are you a government agency whose jurisdiction includes the land involved in the subject request? Yes No If the answer is "yes", please explain the nature of the agency's jurisdiction: C. Do you lawfully reside on or have some property interest in the land involved in the subject request? Yes No If the answer is "yes", please explain: Appendix A s°".'s.?ra{;.y u a:`4 PETITION FOR STANDING IN A CONTESTED CASE HEARING (Page 2 of 2) D Are you a person or persons descended from native Hawaiians who inhabited the Hawaiian Islands prior to 1778, who practiced those rights which were customarily and traditionally exercised for subsistence, cultural, or religious purposes? Yes No If the answer is "yes", please submit any genealogical evidence and historical evidence showing the exercise of those rights to support your statement: Petitioner's Signature STATE OF HAWAII ) SS. COUNTY OF HAWAII ) On this K day of WVch 20 tel, before me personally appeared IDMIS -A Loadq , to nye known to be the person described in and who executed the foregoing instrument, and acknowledged that he executed the same as his free act and deed. ��ttti111Pi(rr� Jt#aPublic, State of Hawaii My commission expires: JAN 0 12024 "60F; \AP:' ����ttt1u rta�rii AR 0 0 707 2 °., Doc. Date: #Pages: ta c y 12 � NotaryName: �1f S oc. Description: Ill lY1 lA Q� cs) AppendixA, Icase € ®`—