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nvfforimental Health Department <br /> Dried or Dehydrated Dried Vegetarian- <br /> ❑ Vegetables ❑ Based Soup Mixes ❑ Vegetable and Potato Chips <br /> ❑ Sweet Sorghum ❑ Roasted Coffee Chocolate Covered Nonperishable Food <br /> Syrup (Beans/Grounds) <br /> ❑ Fried or Baked ❑ Dried Hot Chocolate ❑ Fruit Infused Balsamic Vinegar <br /> Donuts and Waffles <br /> ❑ Other <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 <br /> Regulations <br /> Food Descriptions: <br /> T--Q- <br /> t C CRL1 r U <br /> vok <br /> SA Sn b <br /> 46 <br /> \-�\AIv'x•a - lr\Qc�0 5 c3.1r� i`."o <br /> Ns <br /> C.>J\�C"\'O� .Q� yv�S p..V•L�'— d!'�cQ� <br /> EHD 16-27 6/15/18 2 CFO REG/PERMITTING FORM <br />