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Pianning and 3ui;clng Agen;'; <br />PlanninE Division <br />20 Civic Center Plaza <br />F.C. Box 1988 ii$-2S) <br />Santa Ana, CA 9278: <br />t714\ 647-58A4 <br />www.santa-ana.arg <br />CERTIFICATE OF CCGUPANCY <br />SUPPLEMENTAL <br />QUESTIONNAIRE <br />Fiease'iurn in tf;is completeC larm vtitil your Certi{icate of Accupancy application. <br />Cci'npany Nane (P;'int):I\4CCN CAFE <br />^^ ^j- -r X l^- ^'uU: iraut l\Jiiii <br />JTNNIFER N TRifU <br />Acclrass (cusiness rnaiiing aciciress): <br />SA\iI-A ANA <br />5107 IV. .i ST STREET <br />uli\':state: cA zir.927}3 <br />[fr oo N cAF E @G tUAl L. C C I\47 ^,4-723'4A29 <br />S :Pl311Iring\aieiioal- Ccunief ;oi'rT S\ <br />Cc:C Questionna :r e X2'27' a' I <br />Prcre hc. <br />l--l Cnarqe cr pioperly, Crvner @ Change of Occupant J Ctrange oi Use i-l ,qdCitionai Occupar: <br />The:'allcu-slng best describes my operation: <br />ll office only I Retail sales I MedicaiiDental <br />I WarehouseiManufactr.:ringlDistribution I Restaurant/Take Out Food <br />E Other (describe) <br />Z. PIease prcrride a biief desci'iprion cf horru the busrness operates at inis site (for exarnpie, please <br />sescrioe the geireral nature o: the nus:ness, wnat activlties cccur on-site, the hours of operation, <br />open to the public). COFFEE Sr-iOp: SELL;NG COFFEE, SMOOTHIES, JUICE <br />DRINK FROII 8:00AIv'l - lCPi\4, SEVEN DAYS PER \ iEEK <br />3. !y'ha:',vas tl':e rormer type of b.usiriess oi use cl iacrlity? (F/ease ccntact the leasing agent or building <br />cv.,ner to determ;ne pricr business use.i <br />CCFFEE SHCP <br />4. Ha:-r the buildirrg o; space beet-: vacanl oi is thls a ne\v i:uilcling? Yes I No E <br />lf vacant, for" hcw iong? <br />5. A.re .i'cu an inciepencient contractoi"? \.'es I No E <br />E-ir,ai: Accress <br />3. Locailon of the br-;siness an'i suire r",umber: <br />E lsifioor [ 2'cfiaor <br />7. Do you slare the i'icor ci' buslness entrance rvith another business? Yes [l No E[ <br />8. V'./hat is the amount of square footage ieaseo?717 <br />9. How much of the space, v;hich you lease, is cffice? <br />I lcoo/o D 5ac/o I 3a% <br />lf other than '10C%, how is tl':e iemaining space used? <br />IiUU! <br />E Less than 3C%