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REFERRAL of SIGN PERMIT APPLICATION for KVDC REVIEW — <br /> To: KAILUA VILLAGE DESIGN COMMISSION, c/o PLANNING DEPARTMENT <br /> From: DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION <br /> SITE TAX MAP KEY NO.: (3)7-4-015-001-0000 <br /> STREET ADDRESS: 74-58883_2aiara,{ Rom, -R'tlitP KAILUA-KONA, HAWAII <br /> NAME OF Ricj< HendVrshot <br /> SIGNATURE: in DATE: /d////).), <br /> MAILING ADDRESS: P.O. Box 561 Kurtistown <br /> TELEPHONE NUMBER: <br /> APPLICANT'S INTEREST, if not owner of business related to sign: Mauna Kea Signs <br /> BUSINESS RELATED TO REQUESTED SIGN: <br /> NAME OF OWNER If same cant, write "Same"): HFS Federal Credit Union <br /> SIGNATURE:�v,,,,p _, ,.._, DATE: 10/11/2022 <br /> MAILING ADDRESS: 74-5586 Palani Road, Suite 5, Kailua-Kona HI 96740 <br /> * NATURE/TYPE OF BUSINESS: Federal Credit Union TELEPHONE NUMBER. 808 930-1400 <br /> OWNER OF MASTER LEASEHOLD INTEREST (Master Lessee), if land ownership is not fee simple: <br /> NAME OF MA • KonaSafe"C <br /> SIGNATURE: DATE: 10/10/22 <br /> Print name of signator if not same as titled Master Lessee: Marc Higuchi,Managing Agent <br /> MAILING ADDRESS: 6700 Kalanianaole Hwy Suite 205,Honolulu,HI 96813 <br /> TELEPHONE NUMBER: 808-396-0766 <br /> RECORDED LAND OWNER: Liliuokalani Trust <br /> (Fee Land Title Holder) <br /> OWNER'S SIGNATURE: DATE: September 26,2021 <br /> a"Print name of signator if not same as title holder: Ashley Flynn,Leasing Manager <br /> MAILING ADDRESS: 1100 Alakea Street,_Suite 11.00, Honolulu, Hawaii 96813 <br /> TELEPHONE NUMBER: (808)466-8130 <br /> Please include the on final I(�US ten copies (eleven(11) sets total)of the following documents for KVDC review: <br /> (1)this Referral form with all signatures; <br /> (2)the attached Checklist completed and signed by both the Applicant and Business Owner; and <br /> (3)the sign permit application form with its required submittals. <br /> FOR OFFICIAL USE ONLY: <br /> DPW Comments: Proposed sign meets basic Sign Code requirements for placement in Kailua Village <br /> (type and number of signs, ietterilogo height, sign area, placement elevation) <br /> Confirmed by: Date: <br /> • Planning Dept.: County Zoning District: <br /> K.KVOC%Applicahon Pouns45ign PeMa Appbcaeoa Refeiral.doc Match 202 <br />