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PLANNING COMMISSION APPLICATION INTAKE FORM <br /> File Number: PL-USE-2023-000018 <br /> Received: 05/15/2023 Acceptance Date: 03/07/2024 <br /> 300ft/500ft/1000ft(REZ) <br /> Notification: (1s) (2nd) (sign posted) <br /> Hearing Date: <br /> APPLICANT• Erick Jacobson/Waikoloa Lutheran Church <br /> Mailing Address: 68-1928 Lina Poepoe St. <br /> Waikoloa, HI 96738 <br /> Telephone No. Fax No. Email: <br /> Landowner(s): Waikoloa Lutheran Church <br /> Agent: Pacific Aina Design <br /> Mailing Address: PO Box 437197 <br /> Kamuela, HI 96743 <br /> Telephone No.: 808-238-0344 Fax No. Email: christian@pacificaina.com <br /> Original: Waikoloa Lutheran Church Copies:Pacific Aina Design <br /> Request: Establish a Church and related improvements. <br /> Tax Map Key: (3)6-8-002:056 <br /> Affected Area: 1.0560 acres Archaeological Clearance: NO <br /> Metes&Bounds: N/A Tax Clearance: YES TIAR: No <br /> General Plan: LDU SLU: U Zoning: RS-10 <br /> CDP: South Kohala SMA: NO Chapter 343:NO <br /> COMMENTS RECEIVED SENT COMMENTS RECEIVED SENT <br /> ❑DPW-ENG—Hit. 0 Health <br /> ❑✓ DPW-ENG—Kona <br /> ❑Health(Solid) <br /> 0 DPW-Traffic ❑DOT-Planning Honolulu <br /> ❑DPW-Building ❑DOE <br /> 0 DWS ❑Charter School Comm <br /> 0 DEM ❑✓ LUC <br /> ❑Civil Defense ❑✓ OP <br /> ❑P&R ❑✓ DOA <br /> ❑✓ Police DLNR-SHPD ea Reo F..) <br /> ❑✓ Fire ❑DLNR-OCCUFORFsrRv-NAH/ <br /> ❑OHCD PARKs/LAND ANG/0THER <br /> ❑✓ RPT ❑NPS <br /> ❑✓ LR-CDP s. ❑ CRC <br /> ❑Admin Permits ❑NRCS <br /> ❑✓ Kona Planning ❑USFWS <br /> ❑Kona Traffic Safety ❑✓ Comm.Assoc. Waikoloa <br /> ❑KVDC ❑ HELCO <br /> ❑✓ S.Kohala Traffic ❑ <br /> REMARKS: Concurrent Processing/Related Files&Permits <br /> Prepared by: JA Date: 01/10/2024 Eden Logged by: Date: <br />