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10. <br />11 <br />Please provide a brief description of how the business operates at this site (for example, <br />please describe the general nature of the business, what activities occur on-site, the <br />hours of operation, open to the public). <br />hob a-V--\ l" p*Vr[^, ,- %. lpt^oo'4',rlo <br />'P "i ^t'.^T ^. e-p? a). (z\ {- 54n+-* <br />Will your business iHdude a lobby or waiting aiea? Yes E frfo .E <br />lf yes, what will be the dimensions? <br />Do you store equipment, materials, or products within the buildingZ Ves t' <br />Will there be outdoor storage of equipment, materials, or products? Yes S <br />lf yes, please describe: Ber1.<, , SU+,.f s <br />13. Do you manufacture a product at the site? Yes E No E <br />?rt4\, ,\^,^[> t prtF"rt <br />12 <br />lf yes, please describe <br />14 <br />15. ls the proposed use within the mental health profession, such as: <br />Socialworker <br />Applicable trtr <br />Psychologist !Psychiatrist <br />Other <br />16 ls counseling proposed as a part of your business operation? Yes E No <br />Does your counseling business contract work with a public agency? Yes E <br />lf yes, please describe: <br />Page 2 of 4 <br />cm\cntr-frm\C of O questionnaire <br />0712012 <br />NoE <br />NoE <br />Do you plan on making any improvements to the buil{ing such as: exterior painting, <br />signage, interior tenant improvements? Yes E ruo F <br />lf yes, please describe: <br />Does the proposed use involve a patient care profession, suc.h as doctor, dentist, <br />chiropractor, acupuncturist, or physicaltherapist? Yes ! ruoF. <br />A"p