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19F - RECEIVE AND FILE SEWER SYSTEM
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11/17/2020
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19F - RECEIVE AND FILE SEWER SYSTEM
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Last modified
11/12/2020 5:44:46 PM
Creation date
11/12/2020 3:16:53 PM
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Template:
City Clerk
Doc Type
Agenda Packet
Agency
Public Works
Item #
19F
Date
11/17/2020
Destruction Year
2025
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CITY OF SANTA ANA <br />PUBLIC WORKS AGENCY <br />5. PLEASE CHECK WHICH OF ONE THE FOLLOWING STATEMENTS APPLY: <br />❑ THIS IS A NEW FSE. <br />❑ THIS IS AN EXISTING FSE GOING THROUGH CHANGE OF OWNNERSHIP. <br />❑ THIS IS AN EXISTING FSE GOING THROUGH REMODELING. <br />❑ THIS IS AN EXISTING FSE GOING THROUGH CHANGE OF USE. <br />❑ THIS IS AN OUT OF SERVICE FSE, GOING TO BE REUSED. <br />*Note: If a tenant improvement or other remodeling/improvements are planned, include a digital copy of <br />the facility plans with this application. <br />6. CHECK THE FOOD SERVICE ESTABLISHMENT TYPE THAT BEST REPRESENTS YOUR <br />FACILITY? <br />❑American -Burger <br />Dice Cream <br />❑Bagel <br />❑Indian <br />❑Bakery <br />❑Italian <br />❑Barbecue <br />❑Japanese/Sushi <br />❑Cafeteria/Buffet <br />❑Korean <br />❑Chicken <br />❑Meat/Carniceria <br />❑Chinese <br />❑Mexican <br />❑Coffee Shop <br />❑Pizza <br />❑Cookie <br />❑Seafood <br />❑Deli/Sandwich <br />❑Steakhouse <br />❑Doughnut <br />❑Vegetarian <br />❑French <br />❑Vietnamese <br />❑Greek <br />❑Other <br />220 S. Daisy Ave • (M-85] Kip ^��GfpSpia 92703 <br />714- i�J �a <br />w .santa-ana.ore <br />
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