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n <br />10. ls the building sprinklered? Yes p No E <br />11. Do you plan on making any improvements to the building such as: exterior painting, signage, <br />interior tenant improvements? Yes I No E <br />lf yes, please describe: hrl)"'^j tlf^1i ' I.,t AAt\ c'-Li'rcf-s <br />12. Will yourbusinessincludealobbyorwaitingarea? Yes ! No B <br />lf yes, what will be the dimensions? <br />13. Doyoustoreequipment,materials,orproductswithinthebuilding? Ves S No E <br />a. Will there be outdoor storage of equipment, materials, or products? Yes f] *o F <br />lf yes, please describe: <br />b. Will there be storage racks, pallets and/or shelving exceeding 5 feet 9 inches in <br />height? Yes E No flfrerm it required for racks/shelving over 6', inquire with permit counte) <br />14. Do you manufacture a product at the site? Yes E No EI <br />lf yes, please describe (including process and end product). <br />a. Will operations produce dusUwood shavings or similar material? Yes ! No Eb. Does the operation involve the use of welding or open flame? Yes E 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 EI <br />a. ls the proposed use within the mental health profession, such as: <br />Etr No/Not Applicable ! Psychologist E Psychiatrist <br />Social worker !Other <br />16. ls counseling proposed as a part of your business operation? Ves p. ruo E <br />a. Does your counseling business contract work with a public agency? yes E <br />lf yes, please describe: <br />'17. Will your business be offering the following services: <br />No DK <br />E Tattoos/ Permanent make-up <br />p- trtone of the above <br />18. Will your business be offering massages as part of your business operation? This includes <br />massage as ancillary to pedicures, manicures, and other services. Yes E No E <br />19. ls cannabis or cannabis related product stored, cultivated, distributed, tested, manufactured or <br />dispensed at your business? Yes E No EF <br />20. Do you prepare or sell food for consumption on or off the property? Yes f] No E <br />lf yes, do you provide sit down service !, drive{hrough f], or orders to go/pick-up !? <br />Alcoholsales E Smoking Lounge <br />Body piercing/ Ear piercing <br />S:Planning\ClericaFcounter Forms\ <br />CofO Questionnaire 08-27- 1 8 <br />trtr