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JNZV OF h,� <br /> p OF'MF. <br /> County of Hawaii <br /> BOARD OF APPEALS <br /> Aupuni Center • 101 Pauahi, Suite 3 • Hilo,Hawaii 96720 <br /> (808)961-8288 • Fax(808)961-8742 <br /> GENERAL PETITION FOR APPEAL OF <br /> DECISIONS BY PLANNING DIRECTOR OR PUBLIC WORKS DIRECTOR <br /> (Type or legibly print the requested information. See instructions attached.) <br /> TYPE OF PETITION (check one): <br /> QAppeal Decision of the Planning Director ❑ Appeal Decision of Director of Public Works <br /> SUBJECT PROPERTY (land in question): <br /> Tax Map Key (TMK): 4-6-008:077 Area of Property: 11.426 acres <br /> State Land Use <br /> Designation: Urban County Zoning: A-5a <br /> Street Address: 46-3968 Puaono Rd <br /> APPELLANT INFORMATION: <br /> Name(s): Thomas James Viernes and Kristin &nn Rogler <br /> Signature(s): Date: 02/27/26 <br /> Mailing Address: Po Box 6952 Kamuela H 9674 <br /> Telephone: 808-464-3658 Email: mikromgmt@gmail.com <br /> Interest in Subject Owners <br /> Property: <br /> LANDOWNER INFORMATION: <br /> Name(s): Thomas James Viernes and Kristin Ann Rogler <br /> Signatu re(s)1: Date: 3/2/2 6 <br /> Mailing Address: PO Box 6952 <br /> Kamuela, HI96743 <br /> Telephone: 808/464-3658 Email: mikromgmt@gmail.com <br /> APPELLANT REPRESENTATIVE INFORMATION (leave blank if not applicable): <br /> Name(s)/Title(s): Ctr yA� gan of Skilled Services, LLC <br /> �1 1 1 1 OJ ■ DN t Gh isly A L6g o SUS, <br /> Sig nature( ) zazs <br /> s : k° oz iziaaa aa ds gan@00' Date: 02/27/26 <br /> I /lry7Yl Dv. . . -ma0 <br /> Mailing Address: PO Box 390850 Keauhou, HI 96739 <br /> Telephone: 808-345-2173 Email: skilledservices.logan@gmail.com <br /> 1 Not required if the Landowner is not the Appellant. <br /> \\COH01\planning\public\BOA\Forms and Labels\Application Forms\APPEAL 2021-07- PL or PW Dir.docx Revised April 2021 <br />