Agenda Item 2 - Kerry Ringrose (PL-KVD-2022-000020)

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REFERRAL of SIGN PERMIT APPLICATION for KVDC REVIEW — To: KAILUA VILLAGE DESIGN COMMISSION, do PLANNING DEPARTMENT From: DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION SITE TAX MAP KEY NO.: TMK 7-4-015-018-0000 STREET ADDRESS: 74-5583 Luhia st. Lao KAILUA-KONA, HAWAII NAME OF APPLIC . rose SIGNATURE DATE: 6/17/22 MAILING ADDRESS: 3 Hukilike St. Suite 8 Kahului HI 96732 _ TELEPHONE NUMBER: 808-877-2141 APPLICANT'S INTEREST, if not owner of business related to sign: Sin Fabricator BUSINESS RELATED TO REQUESTED SIGN: NAME OF OWNER write"Same"): Steven Stone SIGNATURE: _ _ DATE: 6/17/2022 MAILING ADDRESS: 10200 SW Commerce Circle, Wilsonville, Oregon 97070 NATURE/TYPE OF BUSINESS: Retail TELEPHONE NUMBER: 503-789-2992 OWNER OF MASTER LEASEHOLD INTEREST (Master Lessee), if land ownership is not fee simple: NAME OF MAST �. E."le Hana 08/03/2022 SIGNATURE: DATE: —Print name of signator if not same as titled Master Lessee: Glennon T. Gingo R(B) CCIM MAILING ADDRESS-c/o HPCP, PO Box 396, Holualoa, HI 96725 TELEPHONE NUMBER: 808-960-9348 Liliuokalani Trust Estate RECORDED LAND OWNER, (Fee Land Title Holder) OWNER'S SIGNATURE: DATE: 7/23/22 Print name of signator if not same as title o Ashley Flynn,leasing manager MAILING ADDRESS: 1100 Alakea St. Suite 1100 Honolulu HI 96813-2845 TELEPHONE NUMBER: (808) 203-6150 email:flynn@onipaa.org Please include the original plus ten copies(eleven(11) sets total)of the following documents for KVDC review: (1)this Referral form with all signatures; (2)the attached Checklist completed and signed by both the Applicant and Business Owner; and (3)the sign permit application form with its required submittals. FOR OFFICIAL USE ONLY: DPW Comments: Proposed sign meets basic Sign Code requirements for placement in Kallua Village (type and number of signs,letter/logo height,sign area,placement elevatio ) Confirmed by: Date: Planning Dept.: County Zoning District: K.XWDOApplication Forms\Sign Permit Application Re(erral.doc March 2012