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r� <br /> TEMPORARY FOOD VENDOR'S APPE ECATION <br /> r id 7-irG;ltj ar3 rz. C^. '2.wn s•Cr and completv' <br /> �ll,.:od endo's i bo'h;cr r: _ <br /> rEStt:a' <br /> Na-re:'j Evelt n �� �t o <br /> V- o f^I.�ring is irfo-mat or about my(?,'?� '.2(:1^,'t�i7t15i:'g5S <br /> P-Icn= 9a s i qj() 4 3 .__. <br /> t• - „ �Ts Lw, ve�c�lla - �csls.CS �s e '&� J <br /> fcoc t--.a'.is NOT:roo- -c z.t ray 4 !o <br /> AP fo;d:S onaoare� 3+f s to or's(f-ur1 imp:rceed T-)-nr!er-,;a Mcl,-.i33 �91sl3s El J� <br /> C\2'._a C't3C."+ _�.L�t�..___LS2V�Aw��s�_�__� ✓'..:'13 `�.p�.S' �6S- y -- <br /> r:�lr<.ss-,t <br /> ! 2"Y. G- _.n_ - i .:-t', '{ .�'I�:,irg ,;c pro: .,.in unoa baked :ad and face p =pa"2tit,�areas`nn1`'i�5 <br /> 2 Dui, <br /> X-Ar _. :i::i7 ::2.:5 and or.i:-er gestic. sirllar r'ctera:an 'r <br /> coripi5:3{y e"eQstn3 =en ::od a—as is :^,1: 8.9:1 ;i smoo-: arc cle=title <br /> asp"It C-aan la,ps and ar'toc1h L':JJd .re acCEptah. s) anC Rld ...^.d N'?pa-a'12.1 <br /> areas from'h2;°;bl;c; <br /> 77 <br /> Note: 'Trc or; operations rot squ.:e i io bcothis -- ^ '..f h .i: ba. 'yes Ofn <br /> coprv., d dispense-- r 7rl apr ro-,,ed sc..rces <br /> is^rC':+Bd';:a`, r f?r dri Kira t:..ns:!and la":d ::2s try :1;be O.ided in my b C o::` 'y't-e°3 iei:: �rret7n::S. <br /> ,ater <br /> I Ciil-Site hose ail,'t..at's C,^.ine-_ed is a 3 t3 i:`.eater sovr;;? <br /> .,.. spac.IY, _ -, - 1Lan--ha,D'dw vv_r�_.s <br /> =f c:-iciij is provided for my bco'h's .,_._ _ Y s[: lac <br /> I - Providing ar. accurate ..=e :r more=s :o me-asure the 'ot and cctd "cicirg or r-:ant:3i; .13za-::cus <br /> cds de-no all:rues of Ye_[ Nc <br /> I arn nro•.A::ng :he ti wv,�,ng rat 7")a-a:.. �cor'rci'i?r the noidinq r'all n0tarta'a•IV {?ala'dC:S roods <br /> 13.5'F. <br /> fJc... stear-er 7 Sle-Sm:able 3,I ds <br /> Dote: Examples of potentially hazardous food include: meats, tamales, cooked beans, rice, <br /> vegetables, potato salad.eggs,and dairy products. <br />