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w J <br /> TEMPORARY FOOD VENDOR'S APPLICATION <br /> 411 Llod vendo's (both for profit and ^Cl- .'Gilt' a-e rcC:, 3: to re.Urn a SiCr-=d a. r t <br /> `esbva!co-,rdi•-a'nr; r ,_' -. - _�,t�`s =n'. <br /> nd COf'�DI�'c:' ;;(.� n C.1`CfItS,t0 <br /> �Z� �' o 071 <br /> W2- <br /> 1 \a-rQof Everts J� �! c=�.5; <br /> 2 i he folbrring is irfc'r-,atior <br /> N-Prre cf crg2niza. n b ne - - �^"��- - -- -- — --- - ..- --- -- - <br /> L St`o:.d:C :z sC d 3, r;... Tli'7�1 ��lL <br /> I am prcvidtng food t^.a` �s NOT�reoa,ea Bt n0rne- ��/' _s •_ `. <br /> All food is oreoared te Ns`•crr� ��,::_. � - ..,._ :_, _ -- ^lam J d�'� <br /> ha^•�C faCP.ty. <br /> r ss of <br /> I am providing a booth ;vith the ._:lotwirg 'to pro'__. , .n::__ ___ _ ,j and f _ ; _ ,'ion areas`rcrn f'ies <br /> mat and'!-e public) <br /> UAIEoo:'i w;'h .ra'!s and cel'i^g cons''u:'ao of er^?r';docd, canJas plastic, sirni ar rrater,a. and :r•,e mesa 'y <br /> screen,:..% corlDle.ely a^0 Os;ng open food a'aas. li .1!li a!sJ have a smooth and Cle-anla ie '10C:' (0r'crete <br /> ssrhalt, c'ean tarps and smoc`h v:ood arc acceptable) and wrist;Jc`.ed to ss.ps7are food and rood r+repa'at10r1 <br /> a!2Ze <br /> "12 public. <br /> S �Clf�is <br /> Note: T-e or!y Operations not _qui ed to r'c'vlde enclosed troths are M. <br /> approved dlspense's or p-eoackaaed foods t'Om approved so,,:rces <br /> 3 Ao.^ cved vrater for drink!na- utens'i and na^d l"i2S T^ ':1 be CrDvic �r.'I^� ,et• <br /> 7 ej in Tj DOO: , cy t"a`0 � f:' OdS. <br /> Ap�'cved bolt ed �'fatar. <br /> On-si'a hose bib that's c�nnec:ad to a o:;tab'a',fater source <br /> Electricity is provided for my booth's use' es [' N, <br /> 3 I am providing an accura'e crcbe :h.ermorrme'er to r.easure the -ct and cold `-olcirg o` po.e-.ttaiiy hazardous <br /> `cods d:.ring all ti:-Ies of t=th cpe'aticn: ` Yes [ ND <br /> g 1 arr .,rovic;ng 'he fDl ovr:ng h^t .=r ae at s control ;o- the hol�;_g 1 p te- `=3-d% s f a <br /> __ `s.l o ,ia I.� _�_ cods �^^ <br /> �1.:.5'F. <br /> r <br /> �_- C'cu stear-er Stear'7'.a:!c 3 I ds <br /> iv Fie;; Sove tCP __I Q'ler <br /> Note: Examples of potentially hazardous food Include: meats, tamales, cooked beans, rice, <br /> vegetables, potato salad, eggs, and dairy products. <br />