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Please turn in this completed form with your Certificate of Occupancy application. <br />Company Name (Print)ASYK, INC. <br />contact Name: YUKARI TAKASHIMA <br />-,-SATITA <br />ANAJIiilffi <br />Planning and Building Agency <br />Planning Division <br />20 Givic Center Plaza <br />P.O. Box 1988 (M-20) <br />Santa Ana, CA92702 <br />(71416/7-5804 <br />www.santa-ana.org <br />CERTIFICATE OF OCCUPANCY <br />SUPPLEMENTAL <br />QUESTIONNAIRE <br />Address (business mailing address):2033 S. LYON STREET <br />City:SANTA ANA state' CA zip 92705 <br />phoneruo., 213-910-7874 E_maitAddress: ADMIN@ASYKINC.COM <br />! Change of Property o*n.rrtcnange of occupant ! Cnange of Use E Additional Occupant <br />1. The following best describes my operation: <br />E Ottice Only E Retail Sales E Medical/Dental <br />[] Warehouse/Manufacturing/Distribution ! RestauranUTake Out Food <br />n Otner (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)' Ecommerce- wholesale online sales and distribution <br />3. What was the former type of business or use of facility2 (Please contact the leasing agent or building <br />owner to determine prlor buslness use.) <br />Storage and distribution of books. <br />4. Has the building or space been vacant or is this a new building? Yes E No E <br />lf vacant, for how long ? prior tenant vacated 512412021 <br />5. Are you an independent contractor? Yes E No E <br />6. Location of the business and suite number: <br />E lstfloor tr 2ndfloor E _floor <br />7. Do you share the floor or business entrance with another business? Yes n No E <br />8. What is the amount of square footage leased?1400 sqft. <br />9. How much of the space, which you lease, is office? <br />tr looo/o D soo/o tr 3oo/o <br />lf other than 100%, how is the remaining space used? <br />E Less than 30% <br />S:Planning\Clerical-Counter Forms\ <br />Co0 Questionnaire 08-27-18