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17. Will your business be offering the following services: <br />! Alcohol sales E Smoking Lounge E Tattoos/ Permanent make-up <br />E AoOy piercing/ Ear piercing E None of the above <br />18. Will your business be offering massages as part of your business operation? This <br />includes massage as ancillary to pedicures, manicures, and other services.YesE NoE <br />19. ls medical marijuana stored or dispensed at your business? Yes E No E <br />20. Do you prepare or sell food for consumption on or off the property? Yes I No E <br />lf yes, do you provide sit down service E, drive-through E, or orders to go/pick-up E? <br />Please explain: <br />21 Does your business sell automobiles or motorcycles? Yes E No E <br />lf yes, please explain: <br />22 Does your business service or repair vehicles or install equipment and accessories into <br />vehicles? Yes E No E <br />lf yes, please explain: <br />I DECLARE UNDER PENALTY OF PERJURY, THAT THE FOREGOING STATEMENTS ARE <br />TRUE DCO ECT TO THE BEST OF MY KNOWLEDGE AND BELIEF <br />\- t/. 07. z o <br />reD (4 pett +Date <br />14 <br />Print ?a lr /<4G, <br />Title <br />cm\cntr-frm\C of O questionnarre <br />07t2012 <br />Page 3 of4