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SPIN2011-41 Meeting Request Form04P 1 9pir V Southlake Program for the Involvement of Neighborhoods Meeting Request Form Applicant Contact Information: Name: �W t__. P � t "- . Business � D -A.� �-�-� ► 0 . E -mail: DC6%.AG Ae- � y° Work Phone: Alternate Phone: 4 1 I C - `1 a 1 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.) t D t is G- Q_XV4z.W_ L S pr. Pe P4 SaE� S 1 WGL-� Vmt' .. RX.S rbe, _7rt AL_ Q1 1�wPlr` p C g_Vr_V__ . - r t�C 0.-m �c-� 5 t t s 46.4 NcAx 5 (svL - rj7t o F Project Location: Exact Street Address: R_.6L..L_ Nearest Cross Streets: W r. s--r to t:� is D 6 P'w SPIN Neighborhood: 5? tt- Additional Location Information: 1 V! S*�uPA oC_l_' O SPIN Neighborhood Representative Recommendation: (Please indicate Yes or No) 9 Yes ❑ No SPIN Meetina Reauest: (Please indicate Yes or No) VYes ❑ No For office use only. SPIN Case No.: Initial Contact: 1 7, 5 Recommendation: 1 Form Received: C� I - .7A G 7J Website Desired SPIN Meetina Date: I b �� Connect -CTY: C>d_ - r. t ~l , a_ d t t � I . p . n• .