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SPIN2012-29 Meeting Request Form41X 'I Southlake Program for the Involvement of Neighborhoods Meeting Request Form Applicant Contact information: Name: r Y 1 ii b Business: E -mail: dA.V% e- D a-01, C 9 114-11t _ Work Phone: #4 Alternate Phone: r 41 Proposal Description: (Short, 2 -3 sentence description of propose project. This information will be used on the advertising for the meeting. Ex:1 // 1,000 sq. ft office building on 2.5 acres located at 100 Southlake Boulevard.) � � � a�secd / � /O/ Prolect Location: Exact Street. Address: i&o &AA1-dy ! l ' ! �'I 4 fle Nearest Cross Streets: flr ;1 Z h SPIN Neighborhood: ` II Additional Location Information AA I ace-v� - Pb d A Y C < gAi G/ S it SPIN Neiahborhood Representative Recommendation: (Please indicate Yes or No) y Yes ❑ No SPIN Meetina Request: (Please indicate Yes or No) Yes El No Desired SPIN Meeting Date: Ale // For office use only. SPIN Case No.: •x J'1 L(�V���� Initial Contact: tlrP �(Z commendation: Form Received: Website: 4 5 7 ' C' - � Connect -CTY: