Laserfiche WebLink
,'',*SA]\{TA <br />Al,[A;liilfi <br />Planning and Building Agency <br />Building Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-20) <br />Santa Ana, CA92702 <br />(714) 647-s800 <br />www.santa-ana.org <br />CERTIFICATE OF OCCUPANCY <br />SUPPLEMENTAL <br />QUESTIONNAIRE <br />P/ease turn in this <br />Company Name (Print): <br />Contact Name <br />form with Ceftificate of <br />v <br />application. <br />tU +?D <br />cql\e,O @ unih^lhornO .\ft\, <br />\tt{ E. Dqo( [/. + 3 o I <br />ailing address):Dq <br />Ail^state: 0A zip: <br />q*+05 <br />phone N"., q.\q - 3S 1- tt ?tt E-mailAddress:\C) <br />! Cnange of Property Owner E Change of Occupant I Change of Use E Additional Occupant <br />1. The following best describes my operation: <br />fi Ofice Only ! Retailsales ! Medical/Dental <br />f] Warehouse/Manufacturing/Distribution n Restaurant/Take Out Food <br />E Otner (describe) <br />ease provide a brief description of how the business operates at this site (for example, please <br />3 <br />4. Has the building or space been vacant or is this a new building? Yes El No E <br />lf vacant, for how long?3 xpr. r( <br />5. Are you an independent contractor? Yes n <br />6. Location of the business and suite number: <br />NoE <br />F 1$ftoor tr 2dftoor fl _ftoor <br />7. Do you share the floor or business entrance with another business? Yes n ruo E <br />8. What is the amount of square footage leased?ruo\t D <br />9. How much of the space, which you lease, is office?t n so%tr 3oo/o100% <br />lf other than 100%, how is the remaining space used? <br />describe the general nature of the business, whal activities occur on-site, the hours of operation, <br />open to the public). dOcy"rr.onf 0na-Oeaf Oh Oo gXrwQD"ng . Gnf SA Nr5S \ lr5 <br />\oom tD \rtm tlo14ps$bnal o6u- $^+ uftn N @\;", <br />What was the former type of business or use of facility? (Please contact the leasing agent or building <br />owner to determine prior business use.) <br />'pgA6k <br />cm\cntr-frm\Supp. Quest. <br />0712016 <br />U <br />n Less than 30%