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Type of Food Facility Proposed: l b d <br /> Choose one of the below <br /> Food Establishment Annual Permit Fee <br /> 16.23 1 -20 Seating Capacity $350 <br /> 16.24 21 -50 Seating Capacity $355 <br /> 16.25 51 - 100 Seating Capacity $376 <br /> 16.26 101 +Seating Capacity $425 <br /> 16.28 Licensed Healthcare Facility $337 <br /> Food Processing Establishment without Seating Capacity <br /> 16.12 1 -500 Total Square Feet $350 <br /> 16.13 501 - 1,100 Total Square Feet $350 <br /> 16.14 1,001 +Total Square Feet $376 <br /> Grocery Store <br /> 16.20 Retail Mkt. 26-300 Square Feet of food sales(Incidental Foods) $107 <br /> 16.16 < 1,000 Total Square Feet $257 <br /> 16.17 > 1,000 Total Square Feet(Food Prep Area) $284 <br /> 16.19 > 1,000 Total Square Feet(W/Multiple Depts.) $500 <br /> 16.15 <2,000 Total Square Feet(Prepackaged Only) $250 <br /> 16.18 >2,000 Total Square Feet(W/Prepackaged Only) $287 <br /> 16.80 Commissary(Storage, Major Cleaning-MFPLI) $304 <br /> 16.81 Commissary(Storage, Minor Cleaning-Vehicle/Cart) $237 <br /> 16.90 Satellite Food Distribution Facility $114 <br /> 16.60 Ice Plant $173 <br /> 16.07 Produce Stand $213 <br /> 16.21 Bar without Food Preparation $270 <br /> Additional Information Regarding this Facility: <br /> r4 \ Q e C y <br /> 'A 0c� I' RA �Cc ,,,') Cchl�lCcS I G�.teA I�:.tS <br /> C.�ac Cv� e�.� �a4c�5 v, N'.w (4 6Gel l <br /> EHD 16-01 5 PLAN CHECK GUIDE <br /> 7/5/17 <br />