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Dried or Dehydrated <br />Vegetables <br />0 Sweet Sorghum <br />Syrup <br />Fried or Baked <br />Donuts and Waffles <br />0 Vegetable and Potato Chips <br />0 Chocolate Covered Nonperishable Food <br />Dried Hot Chocolate El Fruit Infused Balsamic Vinegar <br />Dried Vegetarian- <br />Based Soup Mixes <br />Roasted Coffee <br />(Beans/Grounds) <br />[1 Other <br />* Do not contain eggs, cream, or cream cheese <br />** If preparing jams, jellies or fruit butters, include a list of ingredients (attach separate page if needed). These items <br />must comply with standards described in Part 150 of Title 21 of the Code of Federal Regulations <br />http://www.accessdata.fda.qoviscripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br />Food Descriptions: <br />Owatr uk 4- lc <br />Six-6 <br />. <br />of <br />a\x-6 Wcco\a4e, CY)W4- (1,44'eS <br />SW1-6 Uti-Yk" aCM6 ‘NiCJIN \ <br />doilt atcolctie. ckv-kt <br />%.)(-691A- Qinnamari rtA <br /> <br />Cl&War Iticativo La-cs <br /> <br />Sox6aYtk ‘c9i1As <br />EHD 16-27 6/29/2023 2 CFO REG/PERMITTING FORM