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Le Food Vendor and renewed annually Permit Name: Permit Owner: Permit Mailing Address: Phone #: ( ) Permit #: FB Fax #: ( ) - COMMISSARY/HEADQUARTERS LETTER OF AGREEMENT This section must be completed by the Commissary /HQ and renewed annually Commissary/Headquarters Name: Owner Name: Address: Phone #: ( ) Fax #: ( ) Commissary Permit #: Mr./Ms. has my permission to use my health regulated business located at FOR THE PURPOSES OF ESTABLISHING A COMMISSARY/ HEADQUARTERS FOR THEI.

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