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SPIN2010-61 Meeting Request FormSouthlake Program for the Involvement of Neighborhoods Meeting Request Form Applicant Contact Information: Name: Martin Schelling Business: Confier Real Estate E - mail: martin@coniferre.com Work Phone: 817- 552 -7786 Alternate Phone: 817- 475 -3335 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.) A 3,000 s.f. quick -serve restaurant with a drive thru on a 40,335 s.f. lot located at 2120 E. SH 114, the northwest quadrant of SH 114 and N. Kimball Avenue. Project Location: Exact Street Address: 2120 E. SH 114 Nearest Cross Streets: SH 114 and N. Kimball SPIN Neighborhood: Additional Location Information: Northwest quadrant of SH 114 and N. Kimball Ave. SPIN Neighborhood Representative Recommendation: (Please indicate Yes or No) I Yes ❑ No SPIN Meeting Request: (Please indicate Yes or No) A Yes ❑ No Desired SPIN Meeting Date: December 6, 2010