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□Vegetable and Potato Chips□□ <br />□Chocolate Covered Nonperishable Food□□ <br />□Fruit Infused Balsamic Vinegar□Dried Hot Chocolate□ <br />□Other <br />Food Descriptions: <br />EHD 16-27 6/29/2023 2 CFO REG/PERMITTING FORM <br />Dried or Dehydrated <br />Vegetables <br />Sweet Sorghum <br />Syrup <br />Fried or Baked <br />Donuts and Waffles <br />Roasted Coffee <br />(Beans/Grounds) <br />Dried Vegetarian- <br />Based Soup Mixes <br />cc\\<i-e <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/scnpts/cdrh/cfdocs/cfCFR/CFRSearch cfm?CFRPart=150 <br />{yr-eacl loci'F______________ <br />VT> f t0 Ct cl ocx _________________ <br />for-ecwl I co, 6_____________ <br />-60(01 lo G\ F________ <br />f_______________ <br />d oocj h bceo. (J I oo <br />Co P-e e <br />CV\qCcAo. Ve <br />Sq up dbrpct kc>c\ 4~ <br />Ci OlCtO/YToA Vo <br />CVroccJa-l-c cR>p <br />DcxjW-c cVrcrolcxP-e <br />cVxeddqc SourJot <br />log <br /><oordcucjUi Scopes_______ <br />\tg.vy^Scx->vclc<->cik % <br />I -e CYi m \o