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Type of Food Facility Proposed: <br /> Choose one of the below <br /> Food Establishment Annual Permit Fee <br /> 16.23 1 -20 Seating Capacity $350 <br /> 16.24 21 - 50 Seating Capacity $355 <br /> 16.25 51 - 100 Seating Capacity $376 <br /> 16.26 101 + Seating Capacity $425 <br /> 16.28 Licensed Healthcare Facility $337 <br /> Food Processing Establishment without Seating Ca aci# <br /> 16.12 1 - 500 Total Square Feet $350 <br /> 16.13 501 - 1,100 Total Square Feet $350 <br /> 16.14 1,001 +Total Square Feet $376 <br /> Groce Store <br /> 16.20 Retail Mkt. 26-300 Square Feet of food sales (Incidental Foods) $107 <br /> 16.16 < 1,000 Total Square Feet $257 <br /> 16.17 > 1,000 Total Square Feet(Food Prep Area) $284 <br /> 19 > 1,000 Total Square Feet(WlMultiple Depts.) $500 <br /> 16.15 < 2,000 Total Square Feet(Prepackaged Only) $250 <br /> 16.18 > 2,000 Total Square Feet(WIPrepackaged Only) $287 <br /> 16.80 Commissary(Storage, Major Cleaning - MFPU) $304 <br /> 16.81 Commissary(Storage, Minor Cleaning -Vehicle/Cart) $237 <br /> 16.90 Satellite Food Distribution Facility $114 <br /> 16.60 Ice Plant $173 <br /> 16.07 Produce Stand $213 <br /> 16.21 Bar without Food Preparation $270 <br /> Additional Information Regarding this Facility: k- <br /> w h -"C�' C� v✓�Il ,lam <br /> OlS�rn-6to b'q(L- h-d-( 0� Aci li� <br /> A / <br /> q,fl <br /> vi_. / vnwlrIe <br /> EHD 16-01 5 PLAN CHECK GUIDE <br /> 715!17 <br />