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TEMPORARY FOOD VENDOR'S APPLICATION <br /> All fvod vendors ibo:h.f,-proht;.nun -pxtit�are r.equir?::is eatm a siar,4 and compl$tad ropy of*his-checktis,t5 J <br /> •`'�c25ti1"81 CO^"rfr"'<1t:'tt':f�t�is�•Vc"'E!S�'i0"S^�t*t5 Ee'en� <br /> 2. T).e follovAw is trfid-ynafion abowt r r' orgar<eati=.'h. new. <br /> Narre C` <br /> Phcne: eq <br /> LiZI{U1 n eb scwd r,,-:.r4 r:n:I+tip F j!:"'�.�� �, Y ��1==��7.[•�7 i�I..Llcis i�w^„S <br /> Y. l r;t v'k Ll' •pti at ikL•:ne. 4�.Jr:� <br /> Ail ftvd's ompami oil or ts cram approve:i CJ r,eti via:taici<iie"r:% es t—]'VC: --{Qt I'C Y <br /> • Itiarrncf.facilty.: ___�_--_-.-- ---. Pfr,;"e-�..,,.._.. — __-_._. —___._-._ <br /> S. I am,,prow din;a bo Ah v.,ith the°o..1--Mrg. 'A, rly ulpatka ed food ano foot:-p�sp;mtion afea5 from fiat <br /> d:,st and it�e aubt7c) <br /> A tooth with „ells sr`d ce!'12 con.:-u-,:eo ryfvO-er'old, ca.-was,pfast-r, simi;at materiw vd fa;a mess s'y <br /> $CrG+er ryy COi+IaIB:+3ly 3"Ct(SS++'! J�8 l f^G+; a*335. it :Vllt 9?50 t:a'Je . Srr100;r e+`d GI68n8ai>; SOU` 'fir? rr+t2, <br /> asphalt, clean.tarps and smW"h wood are acceptable)and Q nstr jeW to sz:)Vate ford SrVd'cat preparation <br /> areas frcm the pubric. ^ <br /> 7--1 C;i'er;SwC+Gt I:' �C12� +`(Glt,"L`� <br /> Note: The ory, cvperations not. eo;rued fe prcAee enclose;; booths are those vh;ach sodl bete-agea mom <br /> approved dispe^se:s-w prepackaged$pods`turn-proved sc-,&ses. <br /> 5 Ap, •red v,atei for drinking ute,*l ark na'1.d wa8"ina wr,be P.c-Ocied.in'tly boo r cy t:ie following ri av,.*,ds. <br /> App'ovs9 bolt water. <br /> Crr3-sile hcse oib that`.s coine!med to a potable ti+oter same, <br /> Oyler'specify). <br /> 7. Electricity is provided for my,tatO's use?!';K C Pia <br /> 9. l am pmviding .an accurate crab= Iterm'ome:er ab reasurm the t d and cc)d l•ofd;rg of pal entiatiy•hazy—cdcus <br /> ` ids dining all times of ocio:t.cpera„t;n. yes C:Vt? <br /> 9. l am provid;riq`.he f:iUv irlg to!le mpe7atir9 t.'wtrol`(-the `Ui' r irg C,all p-ctentizi1y''.a7_a-dcus`Cods <br /> 135t F: <br /> Ca`rw stove ,,}Sie-na s he e1 t'ays <br /> t_:VGxtrs.stear-er S:esm table t:d <br /> C E'eC`n';stove tQp ��thar Se+e%` �i fi faIA`�\ <br /> Note: Exampies of potentlally hazardous food include: meats, iam,—t:;, Deans, rice. <br /> vegetables, potato safacl.eggs,and dairy proaucts: <br />