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o <br />fln 0r SA]'ITA <br />AI\tA <br />Pt$$c <br />I Bt["0i\c <br />r[t\0 <br />Plannlng and Bulldlng Agpncy <br />Plennlng DMrlon <br />20 Clvlo Contrr Pleze <br />P.O.Box rOEt (t-20) <br />S.nt An , CA927O2 <br />Fra) 6.7{EOa <br />wwwrcnteom.ofl <br />CERTIFICATE OF OCCUPANCY <br />SUPPLEMENTAL <br />QUESTIONNAIRE <br />Please tum ln tlts cotnpre[ed Jonn wlfri yow Cer1dfrc.le ol Occuprrcy appllcttton. <br />@rnpany Narp (Print): <br />Contad Narne:A1v4L fuL h <br />Address (business rnailirp ddress),4t N M<f <br />Citr hh'lLA^L steb: lA a: 1t7a I <br />Phorrc No.E<nailAddress: <br />O Ctrangeof PmpertyOrner I Cnangeof Ocanpant E Ctrangeof Usa E aoOitionalOccupant <br />U?DAT6 bulv*s NAtd6 + auNEA -l. Tho iollowing bcst dcscrlbs my opcretion: <br />! omcr onry El R.trlt srhs E ucauet Dontel <br />fl tflarrtrousr/tanuft cturing/DlBtrlbution E] nosaunnUTekr Out Food <br />fl OOrr (dcscrtbo) 1e*'l ,16 \rt€, <br />2. Please provirle a brief descriptbn of how the business operates at thb site (for example, please <br />describe the general naturc of the business, s,hat activitbs o@uron-site, the hourt of oporetlon, <br />op.ntothrpubllc)- ttt, uc o hafi1 f4*. \ytc+t I lny * Ahr-L <br />tl- 73. WhatwastrCbrmerty?eof businessoruseof facility? (Plaase orttadtrrabEsi?g agcntubdfldlrg <br />owprto btetmincprbrDusiness us.) [?f f*t1_ <br />ttr\kttu4. <br />4. Has the buikling or spaoe been rracant or is this a nerr building? Yes E <br />!f vacant br how long?N1/\ <br />5. Are you an independent conbactorlr yes D No H <br />I <br />No d. <br />6. Locatbn of the business and suite number: <br />g/ r" noor tr 2'd lloor'ttr.\ <br />wcl,"? <br />-7/\g r"/ 3 ry si- <br />floor <br />7. Do you strarc thc fr@r or business ertrancc with another business? Yes E No E <br />E. What b the arnount of square fuGge leased?6r0 <br />9. How mucfr of the spaoe, wttidt you lease, is office? <br />tr roo% El so% tr 30% <br />lf other than 100%, how'ts the remaining space used? <br />S:Pbriptr4anrbr Fomr\ <br />h Lessthan 30% <br />lll,t t 47- 4ll <br />L