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□□□ Vegetable and Potato Chips <br />□□□ Chocolate Covered Nonperishable Food <br />□□ Dried Hot Chocolate <br />□Other <br />’ I <br />/ <br />\lw?.. <■ <br />__£'1^1 <br />I <br /> <br /> <br />EHD 16-27 6/29/2023 2 CFO REG/PERMITTING FORM <br />Sweet Sorghum <br />Syrup <br />Fried or Baked <br />Donuts and Waffles <br />Dried or Dehydrated <br />Vegetables <br />Dried Vegetarian- <br />Based Soup Mixes <br />Roasted Coffee <br />(Beans/Grounds) <br />RIP UY <br />j <br />Food Descriptions: <br />I <br />— <br />EZI Fruit Infused Balsamic Vinegar <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 />mus comply with standards described In Part 150 of Title 21 of the Code of Federal Regulations <br />nttp://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br />_____Gc.\, • -^Ca/C'A <br />• J j- • <br />acAx^ <br />\c»j; ■ <br />A\ ; t \l; k 'A