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JnAHfhw i i ... u h y U i n <br />fEMPORARY FOOD VENDOR’S APPLICATION <br />i. <br />- <br />Address: <br />Phene' <br />3 <br />4. <br />No <br />5. <br />Ft <br />& <br />9. <br />-EMF EVSr.T sr-p <br />7 <br />a <br />hnvironmertsi hC’sr.r r ? g <br />w? se prcvraa in wy fcootn by the toitowhg mefms. <br />1'wX <br />iTbhM^QQdTrLdLL- <br />ffl pro-vsde encfesad heaths are tbosR whfcn sets bewxsfics fewn <br />H5 Conkii^cl^f+fnobhe <br />meate, tamates, cooked beans, rics. <br />torwrn a to <br />INane or Event Dafe<s, L^yl /g <br />Thefoftswing ® irtfa-matron abetr my O!sm?afonfcusiness- <br />^Pnh^____ ___ ____ <br /> OcJL Dc^o/jesfe,. ^a_^r2^59 <br />.....____________Aftematc. { } <br />ar&G- =f.. <br /> <br />Naras of organ^^ion&usiness; <br />_isa^s-1 <br />,X4 - qq to . <br />Us* food to be sold or ££sv8T; 1g thapt^Mx; J 1 ^/noo+h^ (^^oaa <br />! am prowdrig fcob that a^fkeaared at home- gffos £j Nc <br />A!i food s prepared or^ste cr .5 from appnsved cammanziaf laciiaes-^'-ss r <br />Name at fac%.Chi(Lhn Ccpkjd gj-h Lg Phone _ <br />Address of a,| & tfho r| s t~ S+. P) _ ■ - ’ -y - <br />f XTaSK lEb Witb ** Co rri* tooe ai ^prepa^w areM from .. ■_ <br />U A sorm wtr watts and ceding conmruaee a either wo== canvas, asstc. smisr material and hnc rm <br />sa-c^rw comply enctosna .open food areas it v/ib aso have a s?no«h and daaraote ■ -^■Tv.-re <br />Srd 8085081 *“** ** 33Cef3tac!e:' ^strected to warato toorf end food prepared <br />. ■: {specify'1: £jJli^Cfr)-VX\r>od l(p <br />Note: Tfie only ope-atans not rosus-ed t* .7__.'.......... „.. <br />apfx wee dispenser® or prBpackaged foods from awMwed sowces <br />Approved water far drinking, ytensi; ®n<J narfo washing <br />.^Approves boated water <br />L_ On-site hose pfc uiat is aormectod to a pcObte water source <br /> <br />1 »n oreyterig an accural® probe thermometer to measure the hot ®te com hpteng of potentiasv hazardous <br />kjoos dumgaE tunes of bet^t aperatuw Oy^Qng " “ <br />I sm cremng the foltawmQ hot temperature control not & aB paen^ tagatfcus ?Oc^ ^wc <br />O Camp Stove ^tono & hotel trays <br /> Double steamer Steam tabte 8 wds <br />O Electric stove JS-Wter i sceefy} Pul' <br />Note: Examples of potency hazardous food include: <br />■.'ffgetabtes, potato stead, eggs, and dairy products-