SPIN2012-34 Meeting Request FormSouthlake Program for the Involvement of Neighborhoods
Meeting Request Form
Applicant Contact Information:
Name: 1 V
Business: &-yA Uhf In ifit h+5, 1A,L
E-mail: VAA 1 i)40 C_0Y_1.QM
Work Phone:
Alternate Phone:Ul29 1 I I_ ) oZ
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
5ily of ;Sea U�vivt�j 21.000 Sr and ftlimleirn'evs
(;ot,vet t i 11 y w l 1 'Duo S� on p1�,r�, x � hn � c �Lf 5 OL C'Vt s
MSt Gk C2ftRWC%N GhW(C)l UmpI't5 0rn 5OuW S1U Of
)�AYl-wonck falvd arLfl W-eSr Df �4rnbhU PVV9-
Project Location:
Exact Street Address: M �41 DVVY)
Nearest Cross Streets: SJEG `G M)2A 2 -y Y VW 0 U d
SPIN Neighborhood:
Additional Location Information:
SPIN Neighborhood Representative Recommendation:
... (Please indicate Yes or No)
IYes ❑ No
SPIN Meetlna-Reauest:
(Please indicate Yes or No)
Yes ❑ No
Desired SPIN Meeting Date: � \aa.� , a p I
For office use only:
SPIN Case No.:��ft�l�!
Initial Contact: 0 Z
Recommendation: &-A -W2_
Form Received: (O
Website: le --ZJss-ZA)_ L
Connect-.CTY: 7011,