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wtlh your @tfrf,crltr- of Ocrltrr,rrcy epttcatton. <br />TAGS <br />Contact Name:GINA BLANCO <br />Address (business mailing address):4280 LATHAM ST. SUITE C <br />Citr RIVERSIDE state: CA 92501 <br />Phone No.:951-824-2624 E+nailAddress:i nfo@sma rta utotags.com <br />! Changeof PropertyOwner E Changeof Occupant E] Cnangeof Use fil Additionat Occupant <br />1. The followlng best describes my operatlon: <br />E Omce Only E Retallsales ! MeAlcaUDental <br />D Warehouse/ManufacturlnglDlstrlbutlon D RestauranuTake Out Food <br />E Ottrer (descrlbe) <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 publlc)' Registration Services for renewals, title transfers, etc. Open <br />to the public. Hours M-S: 10am-7pm <br />3. What was the former type of business or use of facility? (Please cnntact he leasing agont or bullding <br />owner to determine pior busrhess use.) <br />Sub leasing with Exit Financialand Gina's Auto lnsurance Seruices <br />4. Has the building or space been vacant or is this a new buitding? Yes ! No E <br />lf vacant, for how long? <br />5. Are you an independent contractor? Yes E] No E <br />o. Location of the business and suite number' 1435 W' FIRST ST' SUITE 205 <br />tr 1*floor E 2'tfloor f) _floor <br />7. Do you share the floor or buslness entrance wlth another business? Yes S No D <br />8. What ls the amount of square footage leased?300 <br />9. How much of the space, which 1ou lease, is office? <br />D 100o/o n s}o/o I 30o/o ! Less than 30% <br />lf otherthan 100%, how is the remaining space used? <br />FROM EXIT FINANCIAL AND GINA'S INSURANCE <br />S:Plannlng\Clerical-Counter Forms\ <br />Cdo Qucclionnai rc 0&27 -16 <br />,.,,SANTA <br />ANAJIiil} <br />Plannlng and Bulldlng Agcncy <br />Plannlng DMdon <br />20 Glvlc Cenier Phza <br />P.O. Box 1988 (il-20) <br />Eent Ana,C492702 <br />r14) 6.7.5E0. <br />www.rantre na.org <br />CERTIFICATE OF OCCUPAT.ICY <br />SUPPLEMENTAL <br />QUESTIONNAIRE