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JEHD <br />Owner Name: <br />CFO Zip:ie: <br />CFO Physical Address: <br />Website (if applicable)-- <br />□ <br />id/or selling­will be preparing an< <br />Baked GoodsKI <br />Candy <br />Q Flat Icing <br />□ <br />□□□Jes/PiesQ Fruit Tam al <br />Salted□D Caramel/Fudge <br />Cotton Candy□ <br />□ <br />□ <br />□ <br />□ <br />Churros <br />Buttercream <br />CFO City: <br />Telephone: <br />“Class <br />D Frosting/icing* <br />Dried Mole Paste <br />Q Honey <br />Mustard <br />Dried Grain Mixes <br />CFO Business Nam< <br />Fruit Empanadas <br />SANJOAS™OEW™ENT <br />Environmental H kt ca 95205-6232 <br />Telephone: (209) <br />(CALIFORNIA HONIEMA Date: <br />Granola/Cereals <br />popcorn/ <br />Lj popcorn Balls <br />Q Vinegar <br />Q Fruit Butter** <br />Ground <br />LJ chocolate <br />Q Jams/Jellies** <br />Fried or Baked <br />Q Donuts and <br />Waffles <br />Q Dried Fruit <br />Marshmallows/ <br />Q Marshmallow <br />Bars* <br />CFOREG,PERMtrnNGFORM <br />Q pizzeles <br />Nut Mixes/Nut <br />Butters <br />Q Trail Mix/Dried Fruit <br />ff. (Direct& indirect Sales) $486 <br />EHD 16-27 6/29/2023 <br />Q Seasoning Salt <br />gj “Class A (Direut <br />Q Candied App'eS <br />mltial If you agree to abide by the^°"°^T <br />2. prohibitedjtems: <br />"T A” SelfCeryficatipnChe^ <br />3- Only)□ checklist completed ( Class <br />4 products^ <br />’ piease check the items you <br />Q Dried Pasta <br />q Dry Baking Mixes <br />Q Waffle Cones <br />Buttercream <br />Fondant/Gumpaste <br />Herb/Spice Blends