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,--SAJ,[TA <br />ANA/r[]ffi <br />Planning and Building Agency <br />Planning Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-20) <br />Santa Ana, CA92702 <br />(714) 647-5804 <br />www.santa-ana.org <br />CERTIFICATE OF OCCUPANGY <br />SUPPLEMENTAL <br />QUESTIONNAIRE <br />Please tum in this completed form with your Certificate of Occupancy application, <br />Company Name (Print):ITC tVanufacturers Promo lnc. <br />contact Name: Andrew Gabricht <br />1 <br />Address (business mailing address)1430 So. Grand Ave <br />City:Santa Ana state: CA 92705 <br />Phone No 949-394-9794 Fax No : 949-7695539 <br />What was the previous use of the space you wish to lease? (Ptease contact the leasing agent <br />or building owner to determine prior business use.) <br />2. Has the building or space been vacant or is this a new building? Yes E No E <br />lf vacant, for how long? <br />Are you the primary tenant? Yes E No E <br />Do you sublease from an existing tenant? Yes f] No E <br />Are you an independent contractor? Yes ! No EI <br />Location of the business and suite number: One flOOf <br />E 1't floor tr 2nd floor ! _ ftoor <br />Do you share the floor or business entrance with another business? Yes E No E <br />What is the amount of square footage leased?2200 <br />3 <br />4 <br />5 <br />6 <br />7 <br />8 <br />I How much of the space, which you lease, is office? <br />tr looo/o E so% n so% <br />lf other than 100%, how is the remaining space used? <br />Creative Studio, samples creation, shipping/receiving <br />cm\cntr-frm\C of O questronnaire <br />07 t2012 <br />Page 1 of4 <br />Less than 30%