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< <br />□□ Vegetable and Potato Chips□ <br />□□Chocolate Covered Nonperishable Food <br />□□□ Fruit Infused Balsamic VinegarDried Hot Chocolate <br />Other. <br />L <br />Vy P/MteU <br />Dr.r <br />Q- <br />EHD 16-27 6/29/2023 2 CFO REG/PERMITTING FORM <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/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br />Dried or Dehydrated <br />Vegetables <br />Sweet Sorghum <br />Syrup <br />Fried or Baked <br />Donuts and Waffles <br />Dried Vegetarian- <br />Based Soup Mixes <br />Roasted Coffee <br />(Beans/Grounds) <br />: Cookes <br />____________PiVeJ mf <br />, (jjglnvih <br />Food Descriptions: <br />___________________________Sjfctp of Vloneq. <br />_____________________CanVainS’- p^cohb <br />2- CAiofc? ecfc f Q>oc^' <br />______________Pa. DcaVpC chcitvx SluWecJ! (juMa VAmIj <br />_______________________& nul budtef.__________ <br />GJ Ml <br />elated <br />yvyccV, G;.H\ <br />i /bsecaaver, Cbcocx <br />kMes ^>iocA~______ <br />WcAva \s Ca dcnS6 CovAeckon <br />(Sesame^ pcde ^/Sugar <br />Xckel va s •. p) sVcaoUn q |