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SAS! UAOUIH <br /> - tjt\IT,1 <br /> TEMPORARY FOOD VENDOR'S APPLICATION <br /> Alt food vendors (both for profit and non-profit) are: required to return a signed and comtaleted COPY of this cilecHi.st io . <br /> the festival cnorcrinatc?-three(3)weeks poet to <br /> this event. <br /> 1. 1.Name cf Cvc..r l: E � i 1 � _. .1r1 1� -�� �at�{s}: U- <br /> 2. 'I ie foilovsing is infamistic n my organizationlitiuslness: <br /> NsmU of4to <br /> Address: � L� �iLr.. I <br /> Phone: a� <br /> 3. List food to be snlri ar given to the pubft;,: ��� , �� I -5-�_ <br /> 4. 1 am providinc fc;;]d that is NOT prepay .i at 1' -1 Nr <br /> All foo�)?s prepared n-sit^of 1>;frc=�,plrr.._o c�7lrirr�� I I �`,,c?Iliirs. Y-s! P•._ <br /> - <br /> Address of facility: LC <br /> 5. 1 am providinn a hocth v,,A l file 1 ,IIn,:'i ip. ;tt�pr,it,_c;:l]} ur ( 7r.1 I c:: foc"d 3rici <br /> ZuGatha pul.;lir,) <br /> h with wriHs and cf�ilinp constructed of�:Lh, r wood, canvas, pl�;ttr., sirliln? n, 7ir !i .I n.1 fln:: lrlcsh ily <br /> SCCEBtlIrlCf, ceI'i1plFtel}r ' nClnsifig Gr_IZ ford ar :s. It .:ll c".1 .0 tl�wC: a 5?nc7Uih tind clt.;3rl;lt; ll-;l�iu, <br /> asphalt, clear, t Jrps and smontn woo t L:rt- 1'.rtlJ! :f am G'uRtit(U ;': . '•`i 'r tC 1 1 <br /> areas from the public. <br /> Other(specif};: ---.. ... --- - — -- — - - <br /> Nate: The only operaticns nLA reuuii�ri tc) provide c-rrclrcc;d bx,)ths ar., those. whii;h seit <br /> approved dkpansr,rs, or prepackaged food.1rorn arprovHd sources. <br /> =i <br /> } yi<�. Approved e n: d: w r1.; nletilod <br /> t.�Appivwr-il,cltle.'.A:at.., �r{'� L ! 1 4 C �xr`'C� <br /> - ` I Or7-Srt.G :i0.`;t' 1711!ts`1at7s(;611n.:;`('d:r, �l l'Ot`ci�lir:L'J?3tf•I ;;DLJfG:=._ . \ .. <br /> Other(Snenify;: <br /> 7: ( Ice;tri .ity is{�ravid_�d for my L. oth s <br /> 8. 1 ar'n rMVidirig an nccurrIC, la o;1e thenl ion leter to the hol an:1 cold hoHincl of ppterlti'illy }razardc,us <br /> focr dt�rrims :;li:irr;es o`h:oth ol,_:rr;tir�n: j_� Y.es[..-1 No <br /> l �fii) . i'j,ri_q tlic tGl'�C�'.'r.'. I l( t 'tl` ;:'f'.EJI�: CG_fitrC]I fC1r t�`iC 11C71 r1Cli.1lrl!? of'all �1r7tf;n+ldl�!,' 11C1':li d!'ill;; -:,:'dS rilCil.'f. <br /> 1�35:.1- <br /> f .l S.�F11 n(`1 sto,r_ I ,tr i n0.;��intr I rr Sys <br /> Vr;ts f ��sirllsl s }sf�t rltr�l9}t •ti rr stow 4i�ri;1 I ar lrrt[c; Fnc f[ ;. t 7mj4et t ooked ►ie ins rice, <br /> 1 i;i1 r .., t9C,t i?.:: it l4f 7 L'}}=� rtd tf ilrJ k 1C.1 iILi:S. � , <br /> c 1 I t� �#rOtl Fau, I�G&1:St{� rla ti 6af i(' f'bia�52 <br /> l <br /> q <br /> dr c rl IJ)N o <br /> K, <br />