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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 # ` s } Tb " (''c -9"b "`.s S S- '-e-ic I(V?✓ F `f 2 - C=' I 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: