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A <br />rj3( <br />.ghvjr0.4tiriOrit011iegitti '.1:)0p4rOlipr/t <br />WIPORARY.EVENTAPPLICATION:: <br />To he completed an Signed by Event Ceordinator, then returned to the, Environmental Health Department With all <br />of the•Feed.Venders Applications no later than two weeks prior to event' • • <br />Nit g—to Si'' 12 <br />SAT Pvi V: <br /> <br />32sALL: I_Ocation: . <br />. Event Coordinator. (Namq <br />: Mailing Addriasa; I <br />GENERAL EVENT F,ILE INFORMATION , <br />Name of Event. ‘L) <br />Z Date(s) ot Event At pct. vt Time of Event: -4e-P7pril . , . 14, <br />gkkh <br />Telephone: <br />Aiiieio.?ilMata Aunt:isnot) at peak time Total Attendance: <br />UTILITIES <br />1, Is potable water supplied and available for 'et3c9 forad•vander: kYes 0 No <br />CI yes ..kNo <br />gYer• No <br />Averabtt Age: 41,1" <br />•••,••' <br />2, is electricity supplied and available for each food vendor: <br />3 . Are janitorial facilities available: <br />'Number of toilets provided: •••••••---- <br />Name of sanitary gkiti'xiili.OsPogti Company: • • • - •, <br />Method of diiposal Of liqUici,v0ste for food booths: <br />APPLICATION <br />Submit the following to the Environmental Health Department two weeks , . <br />• Temporary Evert Application * • <br />'Application Review Fee of <br />.c) Temporary Food Vendors Applications for each booth <br />(i) .TernpOrary.,EVent'§ite Plan <br />0) Food Vendor . . , <br />If the event is selected for Int:Notion, the Event coordinator will be billed fe <br />056 per hair (weekdaya13:00 am to 5:00 pm) <br />After regular business hours (Weekday, weekends and heydays) t <br />Minim= threfkhOur overtime rate of $702.00 <br />This application is to be completed and etched by the Event Coon <br />Environmental Health Department with all Food Vendor'a Applications no h <br />event - <br />I understand that as a temporary event coordinator, I am responsible <br />standards and the nvironm tat Health Department. potiolps and procedui <br />Event Coordinator: Date:- <br />'1868 E. 1:iticiitOil.4%;2.4ta00.1• Steekten,i9filiffeinia 962O I 1*..2o4.4$g,4426 I P...SP <br />' - <br />• • • • „ • <br />Number of dumpstors: <br />pc\re — <br />\i-)(