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BUILDING DIVISION- DPW <br /> - •• COUNTY❑"HAWAII <br /> 101 Pauahi Strcct, Suite 7 <br /> ap Hilo, Hawaii'-96720 <br /> ,•'�`�,w,�•..,t• Ph: Kilo UffCC{808;961.8331 Kona Office(8081 323-4720FECLARATION# ACCEP'T`ANCE DATE <br /> 13ECI.ARA'IQN OF CONIPLIANCE <br /> HRS SECTION-16.88 RELATING TO AGRICULTUML STR(,CTURES <br /> PkOJECT/PROPERTYINFORmATION I s <br /> PRpjr rt NAME I }i�Y j Y <br /> SIATL iAND UA AESIGNATIGNxtinfiFinatiQr-ornate Land Use Desigswatinri,contact the Veliartment QrPlanning at(Sibs)96]•8xg$•. <br /> w&ie.[+- fid. <br /> I�W�" PKiJ�RI;i,�ti2in <br /> x faeces} <br /> STRUCTURE INFORMATION <br /> USE OFaTRUCTURE NA o Irl. <br /> EXWKION NOt (we list an f*llour ngAter% $ a �Z 5TRUt:TUML$PAN(rQR EUMPTIONS::&1;a ily) M);asuscfir less than 2S(Q <br /> DISTANCE FROMt4EAREST STILUCTURE � (G.){ry,n,i5 f� <br /> T� iOThLFIOUKAKFR g.q,flJ <br /> DIMENSIONS 0;STRUCTURE lwrh � (ft]e k;dd+ 1 V 00 <br /> AGGREGATE FtCIOP AREA OFAti,EXEMPTED STRUC RES4�tAilut:U UNDER IiFtS.4lf-a f N fo <br /> Browdemmirnrrrg8-T 'n11'sirtplano�+aisuu�tuuccIFO erty)�n s o rs� res scch;r[y;woe eft du[r 7RS�G2Mils:pn50 SItr1RU7t,prµ�apy trparunrsrtinformatian. <br /> Anazhertra sLaetx if neensary, J to �} h IJ T Oi[J ] j <br /> COMMENTS(for dePsrlrw t uas c.Vc 1; <br /> (ObrainapFrovalsignatures PAD,to nibrt;mil of Deelar�ffan mPudltc%Noris, <br /> ENGINEERING DIVISION APPROVAL Flood Zone X <br /> r EstgirscclingEfiuisionR LT. Datc 12-30-2022 <br /> OWNERS CERTIfICATION/DECCAARATION <br /> I declare this project to be exempt from applicable bu:diug pvtm;s/code mquitanronts under ih*provisions of HRs Section 46.88.1 have read.and fully understand HRS 46.88 and certiry <br /> that the project is In conspliante. <br /> 1. f understand that this ctemption only api Ilea tocetwo building per«rirlcude retjuircmeius.I shall obtain all ether,required Pectihits and approvals and shall comply with alI <br /> upplieable codes and lalvsasneciared WII 06',devtloPmcnr.wh1rh ntay Include and etas he Itnifred to Special Mariagemem Arca,Flood Hazard,electrical,plumbirtg,grading, <br /> driveway,wade in County/Stater iigihi of ays,fire,uvaitcwater,arcs]Depanmem of Flealth roep.,hemente. <br /> 2. f understand that the issuance of a decfar tion number by the[aunty should riot:+e IA=to mean that tompltante with HRS in 88 has been ea0uned,anti d►at it is my sole <br /> responsibility to confirm enm fiathce.The Siata or County shall itat he{'cable loot any claims arising from ronscruct ion of building,sttutnrrrs,at appur[enances Thereto exempt <br /> from the handing code and. pr•cess as r3csrribcd in I iR51G Dt1, <br /> _ Propony OwniLv <br /> Address: — d WOLIt[ �'�` i s- phOl ,�"1 r� <br /> Phone No: Email: t D YD�-S r h l h G Q j{�a 4,r 't� <br /> Signature- Printed Name- {V I C D .0, LA <br /> POST CONSMCTION A FRdgL IL 11 IFICATION FORK]must lie sui7mitted thpon ceropletion of construction,rsifura to SUDMIt the 1011th Wil(rause Lias <br /> a£qujmMEN1st OECLAMTION O COMPLIANCE to he declared INVALID and hull VOID the building pematand/orcode exemption,Asingle Final A.,Dui It <br /> Notificatfan Form lose he suTrmitsed in ctrcnprlanee+vlil►61nih of the folfnwirrgderrllines: <br /> Z. Submit f33arm svithfrr 7 yrear of Declaration of Compliance accepurocc date. <br /> 2. Submit term witNn 30 days of completion,ooct:pancy,or use of sruaure. <br /> iia al'i County is an Equal Opportunity Provider and Employer lieu.W22 <br /> EXHIBIT 2 <br />