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10. lsthe buitding sprinklered? Yes E No E <br />11. Do you plan on making any improvements to the building such as: exterior painting, signage, <br />interior tenant lmprovements? Yes E No E <br />lf yes, please describe: Adding demising walls. <br />12. Will your business include a lobby or waiting area? Yes fl No E <br />lf yes, what will be the dimensions? <br />13. Do you store eguipment, materials, or products within the building? Yes ! 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 shelving exceeding 5 feet g inches in <br />height? Yes n No E (pcrmit reguired lor rackt/shetving over 6', lnqulrc wlth pomlt countoi <br />14. Do you manufacture a product at the site? Yes ! No E <br />lf yes, please describe (including process and end product): <br />a. Will operations produce dusUwood shavings or similar materlal? Yes E 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 phpical therapist? Yes E No E <br />a. ls the proposed use within the mental health profession, such as: <br />EttoltrtotApplicable tr <br />E Sociatworker ! otner <br />Psychologist DPsychiatrist <br />16. ls counseling proposed as a part of your business operation? Yes E No El <br />a. Does your counseling business contract work with a public agency? Yes fJ <br />lf yes, please describe; <br />17. Will your business be offering the following services: <br />ruoE <br />E Alcoholsales D Smoking Lounge <br />E eoOy piercing/ Ear piercing <br />! Tattoos/ Permanent make-up <br />E None 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, manlcures, and other services. Yes I No E <br />19. ls cannabis or cannabis related product stored, cultivated, distributed, tested, manufaclured or <br />dispensed at your business? Yes f] No E <br />20. Do you prepare or sell food for consumplion on or off the property? Yes E No E <br />lf yes, do you provide sit down service E, drive{hrough E, or orders to go/pick-up !? <br />S:Planning\Cle.ical-counter Fo.ms\ <br />Cofo Oue3tlonneire 0&27-18