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SPIN2011-40 Meeting Request Form1 4 , A# $ PI r V Southlake Program for the Involvement of Neighborhoods Meeting Request Form Applicant Contact Information: Name: Joel Cheatwood (or authorized alternative contact: Debra Perryman) Business: Mercury Radio Arts E -mail: marketina1Ca).silveroakcre.com Work Phone: 817.849.8282 Alternate Phone: 817.235.6819 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.) 60,774 sf building (former church facility) at 2121 E. Southlake Blvd. requesting Zoning Change from current CS to SP Site Plan specific to include existing CS uses plus 0-1 uses and outlining the primary business uses specific to new tenant's business. Proiect Location: Exact Street Address: 2121 E Southlake Blvd., Southlake, Texas 76092 Nearest Cross Streets: Village Center & Southlake Blvd. SPIN Neighborhood: Additional Location Information: former Gateway Church SPIN Neighborhood Representative Recommendation: (Please indicate Yes or No) X Yes ❑ No SPIN Meeting Request: (Please indicate Yes or No) X Yes ❑ No Desired SPIN Meeting Date;_ October 17, 2011 Form Received: 1 Website: Connect -CTY: