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4 5 � <br /> b <br /> TEMPORARY FOOD VENDOR'S APPLICATION <br /> All food o,s Ioc n -n-profit; ate required to return a cr j and completed copy of`h <br /> th-festit8' • .._ th s evert. l <br /> i. i.Na-reofE:e-. ~J_e l i�i S 1Z <br /> 2. The folio,ving -s ir.forrat or, ac orgarze:ion!busiress- <br /> N=me =` cant-_•:n :,-s -?esS "1 CA ` <br /> Adtdress: y 0 --� � `} 1419 <br /> Frj1(j (p�¢fjSb _ 5Ari•",R -Fir-ench r� S <br /> 4. 1 am ^ food t.-a`. is NOT ,-=cared at ron,e s i <br /> -c _ _ red c r-. :a or is from app-ore _ . -1--er .,. , fac,.Jies: " YI �' eS No <br /> Phone <br /> Address of fac.ity: <br /> I am providing a bocth with:he. .a.ving: ;to prole_, my unoac'raged food and food-p-epa-atio- _ -as `r-^ <br /> d:ist ark the pull- <br /> of canvas. F,_P5: . 3i. ,ar rater <br /> sere= _na completely c es n_c ^per I. :,,;.F also have a _ ! .__ e _ - <br /> asc-all, cinan tarps and sr ioc:h .^JC : c �.,., Ia `e} and onstruc;eu z_--d a 1 .,Jj <br /> area_ f-cm'he public. <br /> ❑ 0: r ,s;:ecify): <br /> Note: T - . ', Jperatio-s -Jt cqulrec t id= e C3ed b �thS _ _ :I _c ch Sell beverazi_3 `Jrt <br /> aaprOvad dispense-s. �prapackagedOfrom app'Oven so:r es. <br /> -,_ rove v.a'ar for dri i .1-1 L:e .s'! ,.-d -d ..as^ing will be c.tided in my booth by the f,'!owing rnethods: <br /> Appr Ed bottled water. <br /> Cn-site hose bib that ccnnec._ a <br /> Other(specify): <br /> El=c: .city is provided for my booth'_ se <br /> ' s C <br /> 3 I am providing an accurate probe 'hermo, ie` to r..easura the h-t arc -� -olt:rg c -7-tially hazardous <br /> foods du-ing all tires of booth operation. _ -- [ IN-- <br /> 9 ! am providing the fol':owing hol temperate•., _-o ,r`� c-. 0.,_ -g _ ail lt3 ,i1 a"._ US foods a c',e <br /> 3tJL Steno a -._ : <br /> Note: Examples of potentially hazardous food include: meats, tarnales, cooked beans, rice. <br /> vegetables, potato salad, eggs, and dairy products. <br />