SPIN2011-17 Meeting Request FormVIk
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Southlake Program for the Involvement of Neighborhoods
Meeting Request Form
Applicant Contact Information:
Name: `5 0 r O"KA
Business: V5L AW O AP% s roL
E -mail: „ "V-FL AWL” Q VF.I 11, 9 0J - N XT
Work Phone: 8 1 - 7 - +S S -- 9 317
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.)
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Project Location:
Exact Street Address: ^ G 161 5 D uTH " 13iyo`
Nearest Cross Streets:
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SPIN Neighborhood:
Additional Location Information: "OLy r V O r W ilgrK+
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SPIN Neighborhood Representative Recommendation:
(Please indicate Yes or No)
X Yes ❑ No
SPIN Meeting Request:
(Please indicate Yes or No)
A yes ❑ No
Desired SPIN Meeting Date:
For office use only:
SPIN Case No.: — �
Initial Contact:
Recommendation:
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Form Received.
Website:
Connect -CTY: