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Get Nc Food Service Application 2013-2024

________________________________________________ Projected start date of construction: ________ Projected completion date: ______________ I certify that the information in this application is correct, and I understand that any deviation without prior approval from this Health Regulatory Office may nullify plan approval. Signature: _____________________________________ Date: _______________________ (Owner or Responsible Representative) S:\EH&S\FLIS\Forms\Plan Review Application – Food Ser.

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