Laserfiche WebLink
Please turn in this <br />Company Name (Print) <br />Contact Name: <br />form with Certificate of application. <br />kc /-^ <br />,--SANTA <br />NA-"'iilffi <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 />(7141647-5804 <br />www.santa-ana.org <br />CERTIFICATE OF OCCUPANCY <br />SUPPLEMENTAL <br />QUESTIONNAIRE <br />'t <br />Address (business mailing address):,uo N lfi <T ul'ltT ] <br />City:IAIJTA AlJA state: CA zip, ?t7 o) <br />Phone No./>/ iUS ,772 E-mairAddress: '4,r)4 a ?8 @]ratrtw/ &d conn <br />E Change of Prope(y Owner flCnange of Occupant ! Change of Use E nddltional Occupant <br />1. The following best describes my operation: <br />E orice only n Retait Sales E ruedical/Dental <br />n Warehouse/Manufacturing/Distribution E RestauranUTake Out Food <br />er otner (describe) <br />lyh Cl /\ &L fa-r l* r <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). <br />/ / filA - I P/q Al ou't I&7 " Ctw i.AY C Lo sE <br />3. What was the former type of business or use of facilityZ (Please contact the leasing agent or building <br />owner to determine prior business use.) <br />/UA|1A 6L Thera Y y <br />4. Has the building or space been vacant or is this a new building? Yes E ruo 7 <br />lf vacant, for how long? <br />noV <br />9z tu Lu l1T 9l , I/,UJ f, J .gfuv7,@n <br />5. Are you an independent contractor? Yes E <br />6. Location of the business and suite number: <br />ts i.tfloor tr 2ndfloor [ _floor <br />7. Do you share the floor or business entrance with another business? Yes E <br />8. What is the amount of square footage leased?goo <br />9. How much of the space, which you lease, is office? <br />/g looo/o tl SoYo tr 3oYo <br />lf other than 100%, how is the remaining space used? <br />?>/,3 <br />*o E/ <br />tr Less than 30% <br />S:Planning\Clerical-Counter Forms\ <br />CofO Ouestionnate 08-27 -18