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COUNTY OF HAWAII <br /> BOARD OF APPEALS <br /> PETITION FOR DENIAL OF USE OF ALTERNATE MATERIALS AND <br /> METHODS OF CONSTRUCTION BY DIRECTOR OF PUBLIC WORKS <br /> (Type or legibly print the requested information) <br /> APPELLANT : <br /> APPELLANT ' S SIGNATURE : DATE : <br /> ADDRESS : <br /> TELEPHONE : (Bus . ) (Home) <br /> APPELLANT ' S INTEREST IN THE PROPERTY: <br /> APPELLANT ' S NATURE OF APPEAL AND REQUEST : <br /> LAND OWNER: <br /> LAND OWNER' S SIGNATURE : DATE : <br /> TAX MAP KEY: (land in question) AREA OF PROPERTY: <br /> STATE LAND USE DESIGNATION: COUNTY ZONING: <br /> STREET ADDRESS OF PROPERTY: <br /> APPELLANT ' S REPRESENTATIVE : <br /> REPRESENTATIVE ' S SIGNATURE : DATE : <br /> REPRESENTATIVE ' S ADDRESS : <br /> TITLE : TELEPHONE : (Bus . ) <br /> THIS PETITION MUST BE ACCOMPANIED BY A FILING FEE OF TWO HUNDRED FIFTY <br /> DOLLARS ($250) PAYABLE TO THE COUNTY DIRECTOR OF FINANCE AND: <br /> 1. The Original and ten (10) copies of this completed petition with the following <br /> attachments: <br /> a. A description of the property involved in the appeal in sufficient detail for <br /> the public to precisely locate the property. <br /> b. A statement explaining the nature of the appeal and the relief requested. <br /> C. A statement describing the proposed new or alternate material, method of <br /> construction, equipment, fixture, device, or appliance and setting forth: <br /> (i) How it meets the standards established by the applicable chapter of the <br /> Code, and <br /> (ii) Is safe for its intended use. <br /> d. A clear and concise statement of any other relevant facts. <br /> 2. Proof of Service by the Appellant on the Director of Public Works. <br /> 3. A list of the names, address and tax map keys of all owners of property within three <br /> hundred feet (300' ) of the perimeter boundary of the affected property. <br /> BOA (P:\WP60\FORMS\BOA\AlternateMaterials&Methodsll-24-2003 <br />