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i <br />) <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 />17141il7-s804 <br />www.santa-ana.org <br />CERTIFICATE OF OCCUPANCY <br />SUPPLEMENTAL <br />QUESTIONNAIRE <br />;-,,SANTA <br />NA,',rffit <br />Please turn in this completed form with your Ceftificate of Occupancy application. <br />Company Name (Print)l\t ru r. *T--- \^..l <br />Contact Name:Ar*N <br />Address (business mailing address):l85t r. FtrzeT 3r + lbt>c'.l <br />City:5*Nr-N N State: CA <br />Phone No.:Fax No. <br />1. What was the previous use of the space you wish to lease? (Please contact the leasing agent <br />or building owner to determine pior business use.)l-r wAg N. SFEC . aut-r6. <br />2. Has the building or space been vacanl o, i. tni, * n#?rifeingZ Yes E <br />lf vacant, for how long? <br />3. Are you the primary tenant? Yes E t\o E <br />4. Do you sublease from an existing tenant? yes E No E <br />5. Are you an independent contractor? Yes E ruo ,ftr <br />6 Location of the business and suite number:o <br />NoE <br />) <br />7. <br />( 8., <br />9. <br />tr 1't ftoor tr 2nd ftoor E ld'iroor <br />Do you share the floor or business entrance with another business? Yes [I No E <br />What is the amount of square footage leased?o 6+r t 5 <br />How much of the space, which you lease, is office?-- ltl,b{ 6 3,F; To+J <br />lQOo/o tr 5oo/o tr 30o/o <br />lf other than 100%, how is the remaining space used? <br />^)€4' <br />cm\cntr-frm\C of O questionnaire <br />1'U2009 <br />Page 1 of4 <br />) <br />zip: q2:7os