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10. ls the building sprinklered? Yes I No E <br />1'1 . Do you plan on making any improvements to the building such as: exterior painting, signage, <br />inteiior tenant improvements? Yes D No E <br />lf yes, please describe: <br />12. Will your business include a lobby or waiting area? Yes E ruo E <br />lf yes, what will be the dimensions? <br />13. Do you store equipment, materials, or products within the building? yes f] No E <br />a. Will there be outdoor storage of equipment, materials, or products? Yes E No E <br />lf yes, please describe: <br />b. Will there be storage racks, pallets and/or shelvlng exceeding 5 feet 9 inches in <br />height? Yes I No E (permit requtred for racks/shelving over 6', inquire with permit countel <br />14. Do you manufacture a product at the site? Yes fl No E <br />lf yes, please describe (including process and end product): <br />a. Will operations produce dusUwood shavings or similar materiat? Ves E ryq E <br />b. Does the operation invotve the use of welding or oPen flame? Yes I No E] <br />15. Does the proposed use involve a patient care profession, such as doctor, dentist, chiropractor, <br />acupuncturist, or physical therapist? Yes E No E <br />a. ls the proposed use within the mental health profession, such as: <br />E!No/Not Applicable I Psychologist E Psychiatrist <br />Social worker !Other <br />16. ls counseling proposed as a part of your business operation? Ves fl ruo E <br />a. Does your counseling business contract work with a public agency? Yes tr No E <br />lf yes, please describe: <br />17. Willyour business be offering the following services: <br />n Alcohol sales tr Smoking Lounge D Tattoosl Permanent make-up <br />f] goOy piercing/ Ear piercing E None of the above <br />18. Will your business be offering massages as part of your business operation?Jhis includes <br />masjage as ancillary to pedicuies, manicures, and otherservices. Yes [ ruo E] <br />19. ls cannabis or cannabis related product stored, cultivated, distributed, tested, manufactured or <br />dispensed at your business? Yes E No E <br />20. Do you prepare or sell food for consumption on or off the property? Yes n No El <br />lf yes, do you provide sit down service E, drive-throush E, or orders to go/pick-up D? <br />S:Planning\Clencal€ounter Foms\ <br />CofO Ouestaonnai16 0&27-18