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Hawaii County Meetings

Windward Planning Commission, June 5, 2026

Approves Use Permit for Outpatient Medical Clinic at 28-1167 Old Mamalahoa Highway, Pepe'eke'o, 6-0

5h 8m28,155 words
160 mentionsdeferredmotion to approveapprovedland useresidentialcommercialspecial use permitzoningdensityshort term rentalsubdivisiontraffic studyaduHawaii County, HI
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What happened

The Windward Planning Commission approved use permit PL-USE-2026-00042 for Jessica Stevens (Big Island NeuroHealth Foundation) to establish an outpatient neuromodulation medical clinic at 28-1167 Old Mamalahoa Highway, Pepe'eke'o, on a 5.74-acre RS-10 single-family parcel, 6-0 wi…

Meeting key facts
Jurisdiction
Hawaii County, HI
Governing body
Final authority
Date
June 5, 2026
Decisions
3 zoning decisions
Outcome
Approved, 6-0

Projects in this meeting (2)

Time Extension for Church Construction

Recommended 6-0
1 condition of approval

Outpatient Medical Clinic

Recommended 6-0
3 conditions of approval

Meeting Summary

The Windward Planning Commission approved use permit PL-USE-2026-00042 for Jessica Stevens (Big Island NeuroHealth Foundation) to establish an outpatient neuromodulation medical clinic at 28-1167 Old Mamalahoa Highway, Pepe'eke'o, on a 5.74-acre RS-10 single-family parcel, 6-0 wi…

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Key Decisions (3)

Approved

Use Permit for Outpatient Medical Clinic at 28-1167 Old Mamalahoa Highway, Pepe'eke'o

Vote: 6-0Conditions attached
Approved

Time Extension for Church Construction at Pana'iwa Street

Vote: 6-0Conditions attached
Continued

Bill 147 - Transient Vacation Rental and B&B Regulatory Framework

Vote: 6-0

Development Activity (2)

Big Island NeuroHealth Foundation Outpatient Medical Clinic

Commercial

SURE Foundation Church and Related Facilities

Other

Market Signals (6)

Commercial Demand

Strong community demand for specialty healthcare access in rural East…

Sentiment

Significant rural-community opposition to commercializing residential neighborhoods (traffic, infrastructure, one-lane…

Housing Demand

County's Hunden Economic Impact Study estimated 8,000-10,000 STVRs operating island-wide…

Who Spoke (18)

ChairCouncilmember · 2StaffApplicantPublic · 3

On the record: the chair, 2 councilmembers, a staff member, the applicant, and 3 members of the public.

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