SPIN2012-17 Meeting Request Form%Ar
0104
Southlake Program for the Involvement of Neighborhoods
Meeting Request Form
flicant Contact Information:
Name: l +U4 10
-W�> r 6
Business:
E -mail:
Work F
Alternate Phone:
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 V A %At
Prolect Location:
Exact Street Address: U",
Nearest Cross Streets:
SPIN Neighborhood:
Additional Location Information:
SPIN Neighborhood Representative Recommendation:
(Please indicate Yes or No)
❑ Yes A"
SPIN Meeting Request:
(Please indicate Yes or No)
Yes ❑ No
Desired SPIN Meeting Date:
I