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Type of Food Facility Proposed: <br /> Food Establishment Choose one of the below <br /> 16.23 1 —20 Seating Capacity Annual Permit Fee <br /> 16.24 21 —50 Seating Capacity $220 <br /> 16.25 51 — 100 Seating Capacity $220 <br /> 16.26 101 +Seating Capacity $240 <br /> $260 <br /> Food Processing Establishment without Seating Capacity <br /> 16.12 1 —500 Total Square Feet <br /> 16.13 501 — 1,100 Total Square Feet $220 <br /> 16.14 1,001 +Total Square Feet $220 <br /> $240 <br /> Grocery Store <br /> 16.20 <25 Total Square Feet(Incidental Foods) <br /> 16.16 < 1,000 Total Square Feet $75 <br /> 16.17 > 1,000 Total Square Feet(Food Prep Area) $160 <br /> 16.19 > 1,000 Total Square Feet(W/Multiple Depts.) $200 <br /> 16.15 <2,000 Total Square Feet(Prepackaged Only) $290 <br /> 16.18 >2,000 Total Square Feet(W/Prepackaged Only) $170 <br /> $200 <br /> 16.80 Commissary(Storage,Major Cleaning-MFPU) <br /> 16.81 Commissary(Storage,Minor Cleaning-Vehicle/Cart) $225 <br /> 16.90 Satellite Food Distribution Facility $150 <br /> 16.60 Ice Plant $125 <br /> 16.07 Produce Stand $125 <br /> $125 <br /> Additional Information Regarding this Facility: , <br /> � <br /> EHD 16-01 5 <br /> 8/4/2006 <br />