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I <br />IITI r]I <br />rrit\( <br />SA}.iT <br />AIiAJ <br />Planning and Buildlng Agency <br />Planning Dlvlsion <br />20 Civic Genbr Plaza <br />P.O. Box r988 (t-20) <br />Santa Ana, CAS27O2 <br />(714) 647{804 <br />www.santa-ana.org <br />CERTIFICATE OF OCCUPANCY <br />SUPPLEMENTAL <br />QUESTIONNAIRE <br />@rtificate of Occupancy application. <br />contact Name: Yusef Awad <br />Address (business mailing address)4276 Katella Ave, Unit 291 <br />state, cA ap:90720 <br />Nestmatei nc@g ma i l. comPhone No.:313-377-8960 <br />S:Plenning\Clerical-Countcr Forms\ <br />ffO Questionndre 0&27-18 <br />Los AlamitosCtty: <br />E-mailAddress: <br />E Cnange of Property Owner D Change of Occupant E Ctrange of Use E Additional Occupant <br />1. The following best deacribes my operation: <br />fl Office Only I Retall Sales E ueOicaUDental <br />! Warchouse/Manufacturing/Distribution E RestauranUTake Out Food <br />D 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, vuhat activities occur on-site, the houn of operation, <br />open to the public)' <br />lce cream shop serving fresh and frozen dessert <br />3. What was the furmer type of business or use of fiacility2 (Please contac't the leasing agant or building <br />owner to determine prior Dusr-ness use./ <br />Cale lRestaurant <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? <br />5. Are you an independent contractor? Yes n No E <br />6. Location of the business and suite number:1640 E First St, Unit D, Santa Ana CA92701 <br />D 1dfloor D 2dfloor ! <br />-floor7. Do you share the floor or business entrance with another business? yes f] tlo E <br />8. What is the amount of square footage leased?1000 <br />9. How much of the space, which you lease, is ofrice? <br />fl 'tooo/o tr so% tr 3oo/o <br />lf other than 100%, how is the remaining space used? <br />n Lessthan 30%