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Please print clearly. Please submit a completed application to: <br />Office of Economic Development <br />City of La Porte <br />604 W. Fairmont Parkway <br />LaPorte, TX 77571 <br />Flu, 2101—MIN2101010kyjr-Al <br />APPLICATION DATE: <br />J , ) M tzc- <br />Applicant Name r-11 <br />ry) <br />Business y) Name, <br />Physical Business Address <br />B 51ness Owner If different fro�appli ant) <br />_ 4 .-1 -�' -1 -7 2 <br />C)2- L.4 <br />M 'I' Address <br />Contact Phone Email Ad8ress <br />TYPE OF WORK (check all that apply): <br />V6,gacle pA nings/Signage <br />V,Bl��autification ,larking Lot Improvements <br />DETAILS OF PLANNED IMPROVEMENTS (attach additional pages if neclssary): <br />n' —( 0 <br />LA PORTE ENHANCEMENT GRANT APPLICATION <br />PAGE 1, Revised 12/12/16 <br />