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• .