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-Type of Food Facility Proposed: <br /> Choose one of the below <br /> Food Establishment Annual Permit Fee <br /> 16.23 1 -20 Seating Capacity $318 <br /> 16.24 21 -50 Seating Capacity $318 <br /> 16.25 51 - 100 Seating Capacity $342 <br /> 16.26 101 + Seating Capacity $368 <br /> 16.28 Licensed Healthcare Facility $306 <br /> Food Processing Establishment without Seating Capacity <br /> 16.12 1 - 500 Total Square Feet `, $318 <br /> 16.13 501 - 1,100 Total Square Feet $318 <br /> 16.14 1,001 +Total Square Feet $342 <br /> Grocery Store <br /> 16.20 Retail Mkt. 26-300 Square Feet of food sales (Incidental Foods) $ <br /> 16.16 < 1,000 Total Square Feet $222 <br /> 0 <br /> 16.17 > 1,000 Total Square Feet(Food Prep Area) $258 <br /> 16.19 > 1,000 Total Square Feet(W/Multiple Depts.) $428 <br /> 16.15 < 2,000 Total Square Feet(Prepackaged Only) $215 <br /> 16.18 > 2,000 Total Square Feet(W/Prepackaged Only) $245 <br /> 16.80 Commissary (Storage, Major Cleaning - MFPU) $276 <br /> 16.81 Commissary (Storage, Minor Cleaning -Vehicle/Cart) $215 <br /> 16.90 Satellite Food Distribution Facility $154 <br /> 16.60 Ice Plant $173 <br /> 16.07 Produce Stand $183 <br /> 16.21 Bar without Food Preparation $245 <br /> Additional Information Regarding this Facility: IIJo r0ok-166 L4))LL RE 14% 714tS <br /> ,X aN DSU 01616&) efV�k) U fiAffiES 14ieU'D .�tZt ICS, <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E. HAZELTON AVE. <br /> STOCKTON, CA 95205 <br /> (209)468-3420 <br /> Approved <br /> [IrApproved with changes: See Remarks <br /> 111 Disapproved: See Remarks r o <br /> Remarks �D <br /> Date <br /> Appro al exxttennds only to that which is shown and described <br /> hereon and does not authorize or approve any omission or <br /> deviation from requirements of state laws or local ordinances. <br /> EHD 16-01 5 PLAN CHECK GUIDE <br /> 8/01/16 <br />