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-,-SANTA <br />ANA-'iiHffi <br />Planning and Building Agency <br />Planning Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-20) <br />Santa Ana, CA92702 <br />(7141 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):Frank R. Sariol, P.C., dba Sariol Legal <br />contact Name: Diane Bolon <br />Address (business mailing address):1820 East First Street, Suite 200 <br />City:Santa Ana state: cA zir 92705 <br />phonel,lo., (714) 361-8276 E-maitAddress: diane@sariol.com <br />! Ctrange of Property Owner I Change of Occupant ! Change of Use E Additional Occupant <br />1. The following best describes my operation: <br />I Omce Only E Retailsales ! tvtedical/Dental <br />E Warehouse/Manufacturing/Distribution ! 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). This Law Office assists and processes Workers' Compensation cases for our clients, <br />3:*T:iZ"3ffi:;Xi,'flT'ti,X'':1"?31?:;"[3 fl,lfl"H'f !:',$:"#:l 3,1ff ]:'o' ""0 <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 />Advertising Firm <br />4. Has the building or space been vacant or is this a new building? Yes El No E <br />lf vacant, for how long?For 14 months, since 0313112019 <br />5. Are you an independent contractor? Yes E No E <br />6. Location of the business and suite numbe r' 1820 East First Street' suite 200 <br />tr 1'tfloor E 2"dfloor ! _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?3,049 <br />9. How much of the space, which you lease, is office? <br />E looo/o tr soYo tr 3oo/o <br />lf other than 100%, how is the remaining space used? <br />S:Planning\Clerical-Counter Forms\ <br />CofO Ouestionnaire 08-27-1 I <br />Less than 30%tr