FOOD FORM:

I.D. 
CATEGORY

Please circle one: 

SMALL GROCERY SUPERMARKET  STREET VENDOR/CART FAST FOOD 

COFFEE SHOP  RESTAURANT  BAR

*Difference for bar vs. restaurant- BAR’s primary service is alcohol (i.e. pub) 

NAME:___________________ ADDRESS: ____________________________  WEBSITE: _______________ 

PHONE: ______________________ HOURS/DAYS OF OP: ____________________________________________ 

TYPE OF FOOD:

Please choose to the best of your ability which type of food is served at the establishment, more than one answer may be circled: 

American (New)  Greek  Mexican  American (Traditional) Grocery 

Middle Eastern  Barbecue  Hot Dogs  Pizza   Brazilian

Indian   Polish  Breakfast & Brunch   Irish

Sandwiches  Burgers  Italian  Seafood   Chinese 

Japanese   Steakhouses Cuban  Korean   Thai

Delis   Kosher  Vegetarian Diners   Latin American 

Vietnamese  Fast Food  Mediterranean  
 

PRICE RANGE: ( circle one -per meal)  $ 1.00-20.00  $ 21-50  $ 50.00-100.00 

HEALTHY OPTIONS: _________________________  PHOTO NUMBER: ____________________ 

STREET ART FORM:

ADDRESS: 
 

CATEGORY

Please circle one: 

MURAL/DECORATIVE    VANDALISM 

COMMENTS: ______________________________________________ PHOTO NUMBER: _______________

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