Laserfiche WebLink
TEMPORARY FOOD VENDOR'S APPLICATION <br /> Ail food vendors(both fG(m-At arrd n4R-p; )are recw d'c 'ES►:n a$91 and corroetted com A t"-3 Cl1b�CtrSt'.G <br /> the fes"mi 000rdinnto,three':3;wems polar to Tors evw-' <br /> i S Name of Event <br /> 2 The fol ownrg is inforrrlatror arou°'*ry <br /> Name of ar9w=abon&utwn*" f �� <br /> Andress. <br /> PhGne- // 1 d _ wler QW-r - <br /> 3 List loud m be solo or girero to the J ~5 <br /> i <br /> 4 i am providlrIg food Vw se NOT prismeo at hor*ie 'j ves(_' No <br /> All loud is prepared o^-she or is+Torn approved ro r-mA l fadNbas xi,Yes No <br /> Name of taaltty Phone - --_-.---- <br /> Address N fnrAttll - - - -- - - - -- - - <br /> am prov+dmg a bdotri NRr "f0Uciwinp (lo Dmtet-t MY unpadtgpd kxxd ana food-oreparat;cn areas fnxn d,es <br /> dust and the pubic-i <br /> x~tx7oth wdh walls and ding rx)nstructad of artbe wV00 :anvas, plastic similar --vtownei ana fine mash fly <br /> r-seniN corr{*Aely --4)c ig c-cen ktod arras it will also .'!e+,* a smooth and cleanable lacer ioorscmte <br /> asprl,V. dean tarps arrc urrrwtn wood are w=et ab°e a:itl uonstiud x] it, separate fow arc food pretsaration <br /> areas frog no Dubuc: <br /> _.. ']tile, I smurh - <br /> Mona: the only cper'anons nu* required to provide wnrloeed booths are ifiq;e which sale peversyes 'lair <br /> approveC dispensers or prrptatihd foods+rnni atiaroveo sourCet. <br /> a Approved water for drinmg,utensil end hand wasting wi4 be provsdea it my booth by the i0krwing nxtt4od• <br /> Approved bottled water <br /> U On-site hose bib that is connerled tc a potable water source <br /> �. Oher Specify)" --- -- — ----- - ----- - <br /> Electi'icity's prr,virdbd fnr my tooth a use yes ivo <br /> P I am pruvreing an acwratt prom thnr,ni�?pie'er to measure. the ho! and r oltl hawing pt potefltieiiy hszerdcHin <br /> tolls during all times at booth 00wation yes['No <br /> 4 : am providing Me following but -,ernperature nontro!for aw Prot holdlrty Of all patennady hazardous foods above <br /> �( [.arnp 9[ow •5va--„i$Hotel tr'wy6 <br /> r-.`i,,C4,staame, r Sle-a-ii table A lids <br /> r Electric str)va too 011iler ;WAWd <br /> Nat*. Examples of potentially hazardous food include: meats, tamak+*r.. cooked beans• rice. <br /> vogetables, potato salad.pg3.and dairy products. <br /> YF"MP r'rEn-hop <br /> •n <br />