SPIN2011-36 Meeting Request FormJ�
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Southlake Program for the Involvement of Neighborhoods
Meeting Request Form
Applicant Contact Information:
Name: 9! y' J�IL' ><A"15k
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Work Phone: 9Z2 - 4sS5- 124Q
Altemate Phone:
Prwosal Description:
(Short, 2 -3 sentence description of propose project. This information wilt be used on the advertising for the meeting. EX: 11,040 sq. ft
office building on 2.5 acres located at 100 5outhlake Boulevard_)
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Proiect Location:
Exact Street Address: JIQ ! jegs j.tr n1 )
Nearest Cross Streets:
SPIN
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Additional Location Information:
SPIN Neighborhood Representative Recommendation:
(Please indicate Yes or No) I - -
0 Yes El No
SPIN Meeting Request:
(Please indicate Yes or No)
Yes ❑ No
Desired SPIN Meeting Date:
For offiCe use only
SPIN Case No.:
Initial Contact:
commendation: 9'�l�•�t� (!
Form Received:
Website:
Connect -CTY: