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10. lsthe buildingsprinklered? Yes ft No E <br />11. Do you plan on making any improvements to the building such as: exterior painting, signage, <br />interiortenantimprovements? Yes ffi No E <br />rf yes,pleasedescribe: lrtlurioy llo-tffi3 '/'*nW >'in <br />12. Wlll yourbusinessincludealobbyorwaiting area? Yes I No E <br />lf yes, what will be the dimensions? <br />13. Do you store equipment, materials, or products within the building? Yes E ruo 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 shelving exceeding 5 feet 9 inches in height? <br />Ves Q No E @ermit required for racks/shelving over 6', inquire with permit counter) <br />14. Do you manufacture a product at the site? Yes n ruo ,& <br />ff yes, please describe (including process and end product): <br />a. Will operations produce dusUwood shavings or similar material? Yes E ruo Eb. Does the operation involve the use of welding or open flame? Yes ! No K ' <br />15. Does the proposed use involve a patient care profes.qion, such as doctor, dentist, chiropractor, <br />acupuncturist, or physical therapist? Yes fl *o R <br />a. ls the proposed use within the mental health profession, such as: <br />5 No/Not Applicable tr <br />Socialworker E Other <br />Psychologist IPsychiatrist <br />A/,tl/ O _ <br />16. ls counseling proposed as a part of your business operation? Yes E No E <br />a. Does your counseling business contract work with a public agency? Ves [i No E <br />tf yes, ptease describe: 1+e,vn"li {e_ <br />17. Will your business be offering the following services: <br />E Alcoholsales E Smoking Lounge <br />E AoOy piercing/ Ear piercing <br />operation?^This includestr NorE <br />19. ls medicalmarijuana stored or dispensed at your business? Yes E to k <br />20. Do you prepare or sell food for consumption on or off the property? Yes E No h <br />lf yes, do you provide sit down service fl, drive-throush E, or orders to go/pick-up ! <br />Please explain <br />cm\cntr-frm\Supp. Quest. <br />0712016 <br />E Tattoos/ Permanent make-up <br />Q ruone of the above <br />18. Will your business be offering massages as part of your business <br />massage as ancillary to pedicures, manicures, and other services. Yes