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■ <br />2. Prohibited Items: <br />6. Food Processor Course: <br />CFO City: <br />Telephone: <br />f' <br />1. Categories: <br />“Class A" (Direct Sales Only) $186 <br />CFO Business Name. <br />CFO Physical Address: <br />MIR <br />Website (If applicable): <br />4. Product Labeling: <br />Attach two labels to this form for two of your CFO products (only one label is required if only one product is <br />made). <br /> "Class B” (Direct & Indirect Sales) S486 <br />Initial if you agree to abide by the following: <br />Foods containing cream, custard, or meat fillings are potentially hazardous and are NOT ALLOWED. Only <br />foods that are defined as "non-potentially hazardous" are approved for preparation by a Cottage Food Operation. <br />These foods include items that do not require refrigeration to keep them safe from bacterial growth that could be a <br />cause of food-bome illness. <br />3. Products: <br />Provide a list of all products you are preparing. If preparing jams, jellies, or fruit butters include a list of <br />ingredients (attach separate page if needed). <br />FoodList: yo-AA <br />o-Aovn <br />, vfyxy Ve, <br />COTTAGE FOOD OPERATIONS (CFO) <br />REGISTRATION/PERMITTING RENEWAL FORM <br />5. Water Source: <br />Please check what type of water source is being used at the CFO: <br />J^City Water Private Well* <br />*lf a private well, attach all updated water sample results (including quarterly bacteria and Nitrate results.) <br />Greatness grows nere. <br />Date: <br />CFO Zip: <br />‘I SMO <br />Owner Name: <br />_____A2/20. Mnm <br />Sc^we oS1- Ws-e _____