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□□□Vegetable and Potato Chips <br />□□□Chocolate Covered Nonperishable Food <br />□□Fruit Infused Balsamic VinegarDried Hot Chocolate <br />□Other <br />2EHD 16-27 6/29/2023 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 />it <br />i— <br />nd ■ <br />y-i 4 iv <br />- Q, pfrxJn_______7_______ <br />kx/I K //W“F •___________ <br />Food Descriptions: <br />Yor/c- If , J- ■ Mcr 41 la, C wcdab <br />4 Cab, mor blfcl___ <br />/ - iLr cu-tam < <br />dj <br />\4?IvAa Ik/X <br />\)DQzk^t5. <br />d-tr?Y-etn <br />s Jex r\ i ivv* 1^4-f 6? r <br />iDCLQxXOjO <br />n74 w£±h cTi~ noi Qjnzy <br />k <br />k