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2017-04-12 CC Packet
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2017-04-12 CC Packet
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9/6/2017 3:31:59 PM
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4/7/2017 3:53:42 PM
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Approved by: <br />Signature <br />Date: <br />Title <br />1. Food and/or beverage served. <br />2. Permit(s) attached. <br />3. Food cooked. <br />4. Permit(s) attached. <br />5. List other health licensing obligations as may be require: <br />Page 14 of 14 <br />21 <br />
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