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SPIN2010-58 Meeting Request FormSouthlake Program for the Involvement of Neighborhoods Meeting Request Form Applicant Contact Information: Name: John D. Blacker Business: 12801 N. Central Expwy. Suite 1400 Dallas, TX 75243 E-mail: jblacker@hartgaugler.com Work Phone: 972- 239 -5111 Alternate Phone: Proposal Description: (Short, 2 -3 sentence description of propose project. This information will be used on the advertising for the meeting. EX: 11,000 sq. ft office building on 2.5 acres located at 100 Southlake Boulevard.) New 17,000 square foot Medical Office Building. Project Location: Exact street Address: Southeast corner of Nolen Drive & Silicon Dr, Lot 513 Nearest Cross Streets: Nolen Drive & Silicon Drive SPIN Neighborhood: Additional Location Information: SPIN Neighborhood Representative Recommendation: (Please indicate Yes or No) I Yes ❑ No SPIN Meeting Request: (Please indicate Yes or No) 4 Yes ❑ No Desired SPIN Meeting Date: November 8, 2010