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□□□ Vegetable and Potato Chips <br />□□□ Chocolate Covered Nonperishable Food <br />□□ Dried Hot Chocolate □ Fruit Infused Balsamic Vinegar <br />□Other <br />EHD 16-27 6/29/2023 2 CFO REG/PERMITTING FORM <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 qov/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br />Dried or Dehydrated <br />Vegetables <br />Sweet Sorghum <br />Syrup <br />Fried or Baked <br />Donuts and Waffles <br />Dried Vegetarian- <br />Based Soup Mixes <br />Roasted Coffee <br />(Beans/Grounds) <br />\Y CmtSif)/to j j <br />_ cuAtowd—i <br />hmr CocjyiiA-, ^ify|trbrwl. C)ro^\m_ CratoY) f <br />Food Descriptions: <br />liYi^: CtuntiU-j yfoyr ChoMir faissan/' <br />^^r^Sx^rirA UYYndr> -(a'ppr. i rnis.(r) -b^A-, Oinmwo? 'VcuSin, <br />ScxrriinyA S/cnos.- Sd. <br />btuPteCHVL limp Ctx.tYxri-, fatyu. <br />rtf yfi/. (^rw.xxn ^TM^r); <br />StvyAitTk- ktg <br />/Aii'nni "Klueterri^ ULmcr> <br />Qirmnw