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<br />APPLICATION FOR NAMING <br />A <br />CITY OF LA PORTE FACILITY <br /> <br />Please provide the information requested and return this application to the City Secretary's Office. <br /> <br />Applicant Informatiif <br />Name: ! ~ ' I ~ i.J H- '-4-+2 <br />Address: ~ fl. .. 1 i DW iL. Z. t: jL:. 'yQ.. <br />Phone: 12. ~ 1- 41 D -ro;j I D <br /> <br />Facili~ Information. . c ~ '. <br />Location: 1~~ ..)0. 2o~Jrc/. k: ' <br />Current Name: . . :'~Jtf.. E.~~no/,\ 4-vO r;'MrL~<; C~TlEIe- <br />Function or Facility: -r; -JJJ if,?5 e~ H T1Z /2.. - S t'&J 1012- C;u...; ., &J2- <br />Proposed Name: Af oi?,11 ~ M ~ ~ R iZ6UJJ-:II O..0!- ~ T# '€5;.> .4,0p <br />. . ~ N I [.)j<- CL-v. -tf- rz.. <br />Contributions <br />In the spaces provided below, briefly explain how the proposed individual, family, organization, <br />or entity has contributed to La Porte. You may use any combination of categories, as is <br />appropriate to the nomination, to describe the contributions made. For further assistance, please <br />refer to the Procedures and Guidelines for the Naming of Public Facilities. <br /> <br />c r- 7, .fT]) <br /> <br />Financial Contribution <br /> <br />Historical/Symbolic Contribution <br /> <br /> <br />4 <br />