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a <br />5. <br />6. <br />9. <br />meats, tamales, cooked beans, rice. <br />1868 E- Hazelton Avenue | <br />eoifrco simrr <br />7. <br />8. <br />£ <br />o <br />r3 o <br />CD <br />I <br />€ <br />B & <br />fo I 1 <br />i D <br />CI s: <br />£ <br />■o <br />■S’ <br />Tl <br />X <br />X <br />1 <br />I <br />N <br />Z <br />-o I <br />CD n g <br />7i <br />£ =- (D <br />C/lI <br />g <br />H <br />- "7 hazardous <br />[Sk, potato salad, eggs. ai._ - <br />iB"Wl <br />., ; . >■ j; J <br />a« <br />Bectridty is provided for my <br />I am I <br />135"F: <br />□ Camp stove <br />□ Double steamer <br />□ Electric stove top <br />Note: E»mplw K P**, <br />vegc------ -- <br />:cr ■ <br />I «« —u. Hea^P^ <br />’^5 C"“ TEMPORARY FOOD VENDOR'S APPUCATIOn’ i ‘ t J ' 1 <br />i Name of Evont -------------- <br />;■ rL,—___ <br />Na™ of organizaton/business: - <br />Address: P'O ---------------------- ------------- <br />PHone: <br />Ust food to be sold or given to the public-.~T?AC 0 ----------------------- - <br />Name of facSity.----------------- -------------------------------------- - ~ <br />»SioS"S <br />SS?S^Jn?S? S - ™ <br />areas from the public. <br />D“er(spe*>:---------------- <br />n°“: <br />□ Approved botiled water. <br />FM hoHitig cT <br />□ Stemo & hotel trays <br />^Steam table & fids <br />□ Other (specify) <br />j—s food include: <br />md dairy products. <br />StteMen.Cartonl.MBI T 2»«<»420 l F 209 46«™ I