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Type of Food Facility Proposed: <br />16.23 <br />16.24 <br />16.25 <br />16.26 <br />16.28 <br />16.12 <br />16.13 <br />16.14 <br />16.20 <br />16.16 <br />16.17 <br />16.19 <br />16.15 <br />16.18 <br />16.80 <br />16.81 <br />16.90 <br />16.60 <br />16.07 <br />16.21 <br />Food Establishment <br />1 -20 Seating Capacity <br />21 -50 Seating Capacity <br />51 -100 Seating Capacity <br />101 + Seating Capacity <br />Licensed Hea lt hcare Facil ity <br />Choose one of the below <br />Food Processing Establishment without Seating Capacity <br />1 -500 Total Square Feet <br />501 -1 , 100 Total Square Feet <br />1,001 + Total Square Feet <br />Grocery Store <br />Retail Mkt. 26-300 Square Feet of food sales (Incidental Foods) <br />< 1,000 Total Square Feet <br />> 1,000 Total Square Feet (Food Prep Area) <br />> 1.000 Total Square Feet (W/Multlple Depts.) <br />< 2 .000 Total Square Feet (Prepackaged Only) <br />> 2.000 Total Square Feet (W/Prepackaged Only) <br />Commissary (Storage. Major Cleaning -MFPU) <br />Commissary (Storage , M inor Cleaning -Veh icle/Cart) <br />Satellite Food Distribution Facility <br />Ice Plant <br />Produce Stand <br />Bar without Food Preparation <br />Annual Permit Fee <br />$350 <br />$355 <br />$376 <br />$425 <br />$337 <br />$350 - <br />$350 <br />$376 <br />$107 <br />$257 <br />$284 <br />$500 <br />$250 <br />$287 <br />$304 <br />$237 <br />$114 <br />$173 <br />$213 <br />$270 <br />Additional Information Regarding this Facility: C,lf b,1,U\(l _ [µil~i v.J'60 --Jo +M-·tt <br />C,,ro \l,_o{ll\ CA /Jt!:Jffi AA O .fort. lo~fo,"\ bci~ to ~, (.,fl ~0 r or 2DifS , <br />Uf~c I<\~ CA-t~:cnct <br />6to 1'!::,'-f-7Cf 5 5 5