SPIN2012-35 Meeting Request Formii
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Southlake Program for the Involvement of Neighborhoods
Meeting Request Form
Applicant Contact Information:
Name: ,Tc�_+r WA �c
Business: TU(L 1 L k
E -mail: . � eco.e (�i c_r, wr
Work Phone: Z�`t "bt{ _ t 61 l
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.)
IA( i ' CCO4 & ►EwC IL Cam ' 'U1JA - X IIr-� 1 S.1�i PCZ-Q%. LO CAPT ),
Proiect Location:
Exact Street Address: ' IGO N . K & AA-- A. tvsi )
Nearest Cross Streets: k(%A f �-► ►K �tK �,n�ar►E E ��,, ,1
SPIN Neighborhood:
Additional Location. Information:
SPIN Neiahborhood Representative Recommendation:
(Please indicate Yes or No)
Yes No
SPIN Meeting Request:
(Please indicate Yes or No)
0 Yes Q No
Desired SPIN Meeting Date:
For office use only:
SPIN Case No.:
Initial Contact: „7
Recommendation : ' Z
Form Received: p 12—
Website:
Connect- CTY: 1
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