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□Vegetable and Potato Chips□□ <br />Chocolate Covered Nonperishable Food□□□ <br />□Fruit Infused Balsamic Vinegar□ Dried Hot Chocolate□ <br />□Other <br />or <br />■ <br />CFO REG/PERMITTING FORM2EHD 16-27 6/29/2023 <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 Regulations <br />http://www.accessdata.fda.qov/scripts/cdrh/cfdocs/cfCFR/CFRSearch.cfm?CFRPart=150 <br />Dried Vegetarian- <br />Based Soup Mixes <br />Roasted Coffee <br />(Beans/Grounds) <br />Dried or Dehydrated <br />Vegetables <br />Sweet Sorghum <br />Syrup <br />Fried or Baked <br />Donuts and Waffles <br />of Uhtj^ <br />Grpkd I <br />J Ci/v> <br />- ( Ity 11^4- ? _________ <br />- /v cy <br />2 7-y Vy y&il' <br />I hf1 <br />- c/uej* <br />Ar, <br />/ hur. <br />jaj- rl Jl/ ( /i <br />t Jis' /o do <br />d "f0, <br />5 ypAf <br />di/in tn roll- U/'/r^ awd <br />tud/d dtf-^ <br />/ <br />de <br />of Tp A A A d <br />'-3 ro/( ■ <br />CoC^d ^tlk-J y <br />our cfcciric P/if^o <br />(in Mi/c/>{lurpljL - </ Rm <br />yuk fir b&kltd’l- <br />Food Descriptions: <br />Uk c/iecjt Mwd <br />~ fl (j*J 4u/l/)'l on <br />jeftetouj Ui/A <br />filb^ , <br />- CcpT A(( f/ou/' <br />- /hiIk <br />- fz Cy crt^tiA <br />~~ /j cy /w/u <br />- (Abe <br />Mix: a^d <br />- 4/b. <br />Ciflyk <br />- 4k- dOK' <br />- ij- <br />Jm/k Inc^foAien-l f