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SPECIAL PERMIT AI'PLICATION <br />COUNT' OE 1- 1ANA'AIf <br />Communication No. 2012 -55 PLANNING DEPARTNIENT <br />(Type or Print the requested iufonnntian) <br />APPLICANT Matthew W. Castro <br />APPLICANT'S SIGNATURE: <br />�.; {,.�� <br />P A H T <br />3 r <br />1 9 k 2= 30 <br />DATE: `! I v I ( <br />ADDRESS: 15-1698a Pori Moi St (29th Ave) Mailing: HC2 Box 6068 <br />Keaau, HI 96749 <br />Keaau, HI 96749 <br />LIST APPLICANT'S INTEREST IF NOT OWNER: : - enevides <br />TELEPHONE. (Bus.) 966 -9577 (Home) 966 -9577 (Fax) <br />REQUEST- S e ial Permit C licati nfor Cer' t.i ied Cold Kitchen <br />TAX MAP I EY: 150331300000 - ZONING: —la <br />AREA OF PROPERTY/AREA OF REQUESTED USE 2000 square feet <br />LANDOWNER: -Shelley L. Bereman- ene ides <br />LA D %VNER' SIGN l PURE. . awg� g4 ; D AT E: <br />Nlay be by letter) <br />LANDOWNER'S ADDRESS: 331 Ainako Ave, Hilo, .Hawaii. 96720 <br />AGENT: <br />ADDRESS- <br />TELEPHONE: Bus.) <br />Honig) <br />(Fax) <br />Please indicate to Nvlio m original correspondence and copies should be sett to: <br />ORIGINAL County Planning Division DIES: Board Members <br />0 st7An <br />