Laserfiche WebLink
,-,,SAJ.ITA <br />ANAJqilffi <br />Plannlng and Building AgencY <br />Planning Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-20) <br />Santa Ana, CA92702 <br />(714) 6/.7-s804 <br />www.santa-ana.org <br />CERTIFICATE OF OCCUPANCY <br />SUPPLEMENTAL <br />, OUESTIONNAIRE <br />Please turn in this compteted form with your Certificate of Occupancy application. <br />Company Name (Print):P, l-.. Pra4r's j6 ,-r LLL <br />Contact Name: n <br />Address (business mailing address) <br />City:5^lu ?-u-n state:C A zip: 4Z 70 7 <br />phone\o.: (ztd 53^ -zq, q E-mailAddress: <br />- <br />! Change of Property Owner f, Change of Occupant n Change of Use n Additional Occupant <br />1. The following best describes my operation: <br />E Otfce Only ! Retailsales E Medical/Dental <br />BI Warehouse/Manufacturing/Distribution E RestauranUTake Out Food <br />n Otner (describe) <br />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 activitiq,s ogcur on-site, the hours of operation, <br />open to the iublic). I4aOL : ^g ShoPt mt4.a l mao\;,a i,r-l1 <br />ho0/)i8t3o-3loo n-f ) <br />What was the former type of business or use of facility? (Please contact the leasing agent or building <br />owner to determine pnbr buslness use.) € OO 4 i ,.. q <br />-) <br />Has the building or space been vacant or is this a new building? Yes I f,fo,E <br />tf vacant, for how long? <br />5. Are you an independent contractor? Yes ! ruo ,x ?:vo € . Df ep. Rp <br />6. Location of the business and suite number'*5*g, , G <br />f t"Roor ! 2ndfloor ! <br />-floor7. Do you share the floor or business entrance with another business? Yes E Uo E( <br />8. What is the amount of square footage leased?.€+ <br />9. How much of the space, which you lease, is office? <br />tr 1oo% tr so% ! 30% <br />S:Planning\Clerical-Counter Forms\ <br />CofO Questionnane 08-27 -1 I <br />I , Lo.u: <br />2. <br />3. <br />4 <br />X Less than 30% <br />lf otherthan 100%, howis the remaining space used? SLof f,-l*r, T*f s;)r;o ^1 <br />l,Oola kooSL