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,--SAI,{TA <br />ANA-"Hffi <br />,, <br />Planning and Building Agency <br />Planning Division <br />20 Givic Genter Plaza <br />P.O. Box 1988 (M-20) <br />Santa Ana, CA-92702 <br />(714) 647-s804 <br />www.santa-ana.org <br />CERTIFICATE OF OCCUPANCY <br />SUPPLEMENTAL <br />QUESTIONNAIRE <br />Please turn in this form with of Occu pa ncy appl ication. <br />Company Name (Print): <br />Contact Name: <br />Address (business mailing address)w <br />City:State Zip 4a+Dl <br />Phone No.:rl Itw <br />fl Change of Property Owner 6"*e of Occupant E Cnange of Use E ROditional Occupant <br />1 The following best describes my operation: <br />E Offce Only ! Retailsales f] Medical/Dental <br />E Warehouse/Manufacturing/Distribution E RestauranUTake Out Food <br />6rn* (desc ri be) g%.*t\ $[p1^, <br />\.J <br />Please provide a brief description of how the business operates at this site (for example, please <br />describe the general nature of the business, what activities occur on-site, the hours of operation, <br />open to the pubric). ?ZALqCSalon - bilt?Ni\e- lpdnn_-.{7ro yln-Sun <br />What was the former type of business or use of facility? (Please contact the leasing agent or building <br />owner to determine prior business use.) -ri I <br />E(w^bwfic{'(,/YruSONrWrYfsu'o'jbolNYv'rgilyl' <br />Has the building or space been vacant or is this a new building? Yes E *od <br />2 <br />3 <br />4 <br />lf vacant, for how long? <br />5 <br />6 <br />Are you an independent contractor? Yes fl *" { <br />Location of the business and sgite number: <br />n 1st floor ( 2^o floor <br />9nAqn"< <br />! _ floor <br />,/7. Do you share the floor or business entrance with another business? Yes D/ No E <br />8. What is the amount of square footage leased?\?D' <br />9. How much of the space, which you lease, is office? <br />tr 1oo% tr so% tr 3oo/o <br />lf other than 100%, how is the remaining space used? <br />S:Planning\Clerical-Counter Forms\ <br />CofO Questionnaire 08-27-1 I <br />1.""than 30% <br />E-mailAddress: