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flil 0l IA <br />l\\l\; <br />UtDt\t; <br />SAI\i <br />AIIA <br />Plannlng and Bultdlno <br />Plannlng Dlvlslon <br />20 Clvic Contor pl.za <br />P.O. Box igAE (M-2ol <br />Santa Ana, Ce'gZlOi <br />(71.t) 847-sso4 <br />WWU,.aantA.ana.Org <br />Agency <br />Phone No.+14 +t o3 E-mail Address: <br />d Change of property Owner ! Change of Occupant !Change of Use n Additionsl Occupant <br />Address (business mailing address): <br />state: p+ zip: Q? 1o{ <br />,. The followlng best d€3cdbes my operatlon: <br />I office onty ! Rerail sates dmeo|cauDentatf) warehouse/Mrnufac{urlng/Drstrrburon ! Reatauranurake out Food! Omer (deecrtbe) <br />Please tum lnthis completed form wlth your of Occupancy <br />Company Name (print): <br />Contiact Name: <br />City: <br />CERTIFICATE OF OCCUPANCY <br />SUPPLEMENTAL <br />QUESTIONNAIRE <br />L30 <br />3. <br />4. Hasthebuildingorsp€c6 been vacantoristhisa newbuilding? yes E Nod <br />lf vacant, for how long? <br />5. Are you an independent contractor? yes E No d <br />6. Location of the business and suite number: <br />! 1afloor d ,*roo,E _floor <br />Do you share the floor or business entrance with anolher business? yes I No d8. What is the amount of square footage leased?I l" OO <br />9. How mu-ch of lhe space, which you lease, is office? <br />{ ',oo"o tr soyo tr 30% <br />lf other than 100%, how is the remaining space used? <br />tr Less than 30% <br />S:Planning\Ctc@l.centgr Foms\ <br />ColO Oucdiomaire O&27-.t g <br />of how the business operates at this <br />what activities theL.,',.1;4 h <br />o'.-l q-jformerof business or use of facilrty? (ptea-e <br />please <br />'F.; <br />ownor to determineDl,--il use.,) <br />contaq n€leasing agent or building