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,,,-SAJ'{TA <br />ANA/iiilffi <br />F; <br />Planning and Building Agency <br />Planning Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-20) <br />Santa Ana, C492702 <br />(714) 647-5804 <br />www.santa-ana,org <br />CERTIFICATE OF OCCUPANCY <br />SUPPLEMENTAL <br />QUESTIONNAIRE <br />Please turn in this completed form with your Ceftificate of Occupancy application. <br />Company Name (Print)Navaro lnsurance Agency, lnc DBA Gerardo Navaro lnsurance Agency <br />Contact Name:Gerardo Navarro <br />Address (business mailing address):3601 W MacArthur Blvd Ste. 907 <br />City:Santa Ana state: cA zio-92704 <br />Phone r,lo., 7 1 4-960-3595 E_mait Address: g nava rroi nsagen cy@g ma i !. com <br />! Cnange of Property Owner I Change of Occupant ! Change of Use E Additional Occupant <br />1. The following best describes my operation: <br />E Ofice Only n Retailsales E Medical/Dental <br />! Warehouse/Manufacturing/Distribution E RestauranUTake Out Food <br />E Ottrer (describe) <br />2. 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 public)' lnsurance agency office, operation hours 9am-6pm Mon-Fri <br />and 9am-1pm Sat <br />3. What was the former type of business or use of facility2 (Please contact the leasing agent or building <br />owner to determine prior business use.) <br />Motorcycle Riding Classroom <br />4. Has the building or space been vacant or is this a new building? Yes ! No El <br />lf vacant, for how long? <br />5. Are you an independent contractor? Yes E No E <br />6. Location of the business and suite number. 'uot <br />* MacArthur Bld ste 907' santa Ana' cA92074 <br />E l.tftoor tr 2ndftoor fl _floor <br />7. Do you share the floor or business entrance with another business? Yes E No E <br />8. What is the amount of square footage leased?740 <br />9. How much of the space, which you lease, is office? <br />E looo/o tr soo/o tr 3oo/o <br />lf other than 100%, how is the remaining space used? <br />tr Less than 30% <br />S: Planning\Clerical-Counter Forms\ <br />Cofo Questionnai e 08-27 - 1 I