SPIN2012-02 Meeting Request FormOU44
Southlake Program for the Involvement of Neighborhoods
Meeting Request Form
Applicant Contact Information:
Name: 1� 1 F�layt -
Business: Cam m r Lc'f
E - mail: be *ev - 6 G So - 4" cc k_t�-,
Work Phone: (� "~ ,-> (� d 7
Alternate Phone: 1 b 1 4 `l `. 1 I
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.)
$y� E w +Pi'i... K Cp n� S YLc -t'I p N
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Project Location: -
Exact Street Address: b4 LA_41
Nearest Cross Streets:
SPIN Neighborhood:
Additional Location Information:
SPIN Neighborhood Representative Recommendation:
(Please indicate Yes or No)
❑ Yes
SPIN Meeting Request:
(Please indicate Yes or No)
Yes ❑ No
Desired SPIN Meeting Date:
For office use only
SPIN Case No.: ��.r'►
Initial Contact:
Ref ommendation: l J
aid Form Received: " 1
Website: ZZ Z 01
Connect -CTY: