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Please tum ln thls completed form wlth your Ceftlficate of Occupancy appllcatlon. <br />Company Name (Pdnt) <br />Contacl Name: <br />Addrcss (busaness mailing address):\>?r* b &Y^tL Avr". <br />Crty: <br />Phone No.E-mail Address: <br />I Cfrange of Property Ovuner Change ofOccupant I change of Use E Additional occupant <br />l. Tho iollowlng b.st dcsc;lboe my oporatlon: <br />! offlcc onryay'not tt Set.s E tt.dlcauD.ntel <br />E Warchoug.riltnutrcturang/Dlstrlbutlon E R.sttur.nuT.kc out Food <br />E Otrrr (drecrlbo) <br />2. Please provide a brief description of how the business operatcs at this site (for example, please <br />describe the general nature of the buslncss, what aclivities qgcur on-site, the hours of oprratlon, <br />op.n to thr pubtic). B,f5ingff lb.^t f llld\ - ,fr( <br />f+' , 6 :raliltv re+^L v ?o thc.va oil{ qL qil ?fll-rub +n3. What was the fiormer rype of business or usa of facility? (Pteese csrtact tt7p IeEsIng agent or Oilatngwdg |,ro <br />7t, uwlq o.A bt*vx cr"tpn'1. ,/ ,'ve' a4 lpttl <br />4. Has the building or spae oeen vacant oi is rris a new buildingz'vesJ'[ N\t{ <br />*WIlf vacant, for how long? <br />5. Are you an independent contractor? Yes E "\il <br />6. Location of the business and suite number:,/ <br />td ''tonoo, ! 2no floor <br />*"r{ <br />>>\4 <br />_ floor <br />7. Do you share the floor or business entrance with another business? Yes ! <br />8. What is the amount of square fiootage leased? ln b+( <br />9. How much of the space, which you lease, is office? ,/tr 100o/o tr 5oo/o tr 307o rEl/ t-ess than 300,6 <br />lf other than 100o/o, how is the remaining space used? <br />S:PlenningEleric.l{ount r Fo.m8\ <br />Con Qugtlonnelre 08-27 - 1 I <br />O,lir?E <br />s,ffii <br />.-*SANTA <br />ANA/iiilH <br />Plannlng and Bulldlng Agcncy <br />Plannlng Dlvlslon <br />20 Clvlc Ccntar Pleze <br />P.o. Box l9E8 (ii-20) <br />Sante Ana, CA 02702 <br />(714) 047.5E04 <br />wwwaanta.ene.org <br />CERTIFICATE OF OCCUPANCY <br />SUPPLEII'IENTAL <br />QUESTIONNAIRE <br />frq -Uot, - q+1>