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,-*SANTA <br />NA,t#$ <br />Planning and Building Agency <br />Planning Division <br />20 Civlc Center Plaza <br />P.O. Box 1988 (M-20) <br />Santa Ana, CA.92702 <br />(714) 647-5804 <br />www.sa nta-ana.orq <br />Please tum in this completed form with your Certificate of Occupancy applicafion. <br />Company Name (Print)Wireless Parts lnc <br />Contact Name:Tammy Doan <br />Address (business mailing address):1906 S. Main Street <br />Santa Ana State CA 92707 <br />CERTIFICATE OF OCCUPANCY <br />SUPPLEMENTAL <br />QUESTIONNA!RE <br />City: <br />Phone No 714-966-9236 E-mail Address:tammy@333star.com <br />fl ChangeofPropertyOwner n ChangeofOccupant n CnangeofUse D AdditionalOccupant <br />1. The following best describes my operation: <br />I orice only ffi Retailsales D MedicaUDental <br />I WarehouseiManufacturing/Distribution I RestauranUTake Out Food <br />f Otrer (describe) <br />Please provide a brief description of how the business operates at this site (for example, please <br />Cescribe the general nature of the business, what activities occur on-site, the hours of operation, <br />open to the public). Retail Sales for cellular phone repairs parts and accessories <br />3. What was the former type of business or use of facility? (Please contact the leasing agent or building <br />owner to determine priot business use.) <br />Church and it was empty for 2 years. Before that this was a despensary and was shut down for <br />illigal business <br />4 Has the building or space been vacant or is this a new building? Yes El No D <br />lf vacant, for how long?2 Years <br />5. Are you an independent contractor? Yes n No E <br />6. Location of the business and suite number: <br />- <br />E lsrfloor tr 2dfloor I <br />-floor7. Do you share the floor or business entrance with another business? Yes n No El <br />8. What is the amount of square footage leased?2592 <br />9. How much of the space, which you lease, is office? <br />E toooh X soo/o D 3oo/o <br />lf other than ',l00%, how is the remaining space used? <br />I Less than 30% <br />S:PlannirgiClttrical-Counter Forms\ <br />CofO Questronnaire 0&27-18 <br />2.