HomeMy WebLinkAboutPlan Approval Application Form (3)
William P. Kenoi Duane Kanuha
MayorDirector
Bobby Command
Deputy Director
East Hawai‘i Office
West Hawai‘i Office
101 Pauahi Street, Suite 3
74-5044 Ane Keohokalole Hwy County of Hawai‘i
Hilo, Hawai‘i 96720
Kailua-Kona, Hawai‘i 96740
Phone (808) 961-8288
Phone (808) 323-4770
PLANNING DEPARTMENT
Fax (808) 961-8742
Fax (808) 327-3563
APPLICATION FOR PLAN APPROVAL
APPLICANT:
APPLICANT’S SIGNATURE: DATE:
PRINTED NAME OF SIGNER: TITLE:
(if for a corp., LLC, trust, partnership)
MAILING ADDRESS:
CITY:STATE:ZIP CODE:
TELEPHONE NO.:EMAIL:
APPLICANT’S INTEREST:
(if not recorded land owner)
RECORDED LAND OWNER:
(Use counterpart forms for multiple owners)
LANDOWNER’S SIGNATURE: DATE:
PRINTED NAME OF SIGNER: TITLE:
(if for a corp., LLC, trust, partnership)
MAILING ADDRESS:
CITY:STATE:ZIP CODE:
TELEPHONE NO.:EMAIL:
By signing above, LANDOWNER APPLICANT hereby authorizes the following to act on their behalf:
AUTHORIZED AGENT:
AGENT’S SIGNATURE: DATE:
MAILING ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE NO.: EMAIL:
PROPOSED USE:
STREET ADDRESS OF PROPERTY:
TAX MAP KEY:(3) LAND AREA:
ZONING:
STATE LAND USE DISTRICT: SPECIAL MANAGEMENT AREA: YES NO
This application must be accompanied by additional items as specified on the second page.
Hawai`i County is an Equal Opportunity Provider and Employer
www.cohplanningdept.com planning@co.hawaii.hi.us
Application for Plan Approval
Required Submittals
Pursuant to the Zoning Code (Article 2, Divisions 1 and 7) and the Planning Department's Rules of Practice and
Procedure, this application form, with original signatures, must be accompanied by:
1.A site plan, drawn to scale and fully dimensioned, indicating clearly the following information:
(a)The location and dimension of the building site (the entire legal lot of record) with TMK No.;
(b)The location, size, and use of all existing and proposed structures;
(c)All yards and open spaces (building setback lines) and distance of buildings from property lines;
(d)Location, height, and material of all fences and walls;
(e)The location, number, and dimensions of all on-site parking and loading spaces, ADA parking/
access aisle signage, pavement for parking and accessway surfaces, drainage control facilities,
waste collection enclosures, and vehicle circulation plan including points of street access;
(f)The location, general nature, and type of all exterior lighting, including shielding devices;
(g)All proposed landscaping and planting, meeting requirements of Planning Dept. Rule 17;
(h)All proposed street dedication and improvement, if any;
2.Building floor plans and elevations (front, rear, and side views), drawn to scale, of all existing and
proposed above-ground structures, indicating height above finish grade;
3.A site drainage plan previously approved by the Director of Public Works in accordance with Section
25-2-72(3) of the Zoning Code, based on the improvements proposed in this application;
4.A certification of clearance from the Director of Finance that the real property taxes and all other fees
relating to the subject parcel(s) have been paid and that there are no outstanding delinquencies; and
5.Any other information required by the director.
THE PROJECT SHALL COMPLY WITH ALL REQUIREMENTS OF PERMITS/APPROVALS
GRANTED BY THE PLANNING DIRECTOR, PLANNING COMMISSION OR COUNTY COUNCIL.
C:\Documents and Settings\kreardon\Local Settings\Temp\Plan Approval Application Form MSWord_63142\Plan Approval
Application Form MSWord.doc
Revised 11/2012