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SPIN2012-54 Meeting Request Form Í±«¬¸´¿µ» Ð®±¹®¿³ º±® ¬¸» ×²ª±´ª»³»²¬ ±º Ò»·¹¸¾±®¸±±¼ Ó»»¬·²¹ Î»¯«»¬ Ú±®³ Applicant Contact Information: úÍÚÚÃøÍÐÐÛÑ Name: õûùÍÎÉÇÐÈÛÎÈÉððù Business: ÚÍÚÚÃüÕÛÙÍÎÙÍÏ ÊÛÎØÓüÕÛÙÍÎÙÍÏ E-mail: Work Phone: 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.) ìÊÍÌÍÉ×ØÊ×ÉÓØ×ÎÈÓÛÐÉÇÚØÓÆÓÉÓÍÎÅÓÈÔ ÐÍÈÉíÆ×Ê ÍÌ×ÎÉÌÛÙ×ÛÊ×ÛÉÅÓÈÔÛÏ×ÎÓÈÃ ÌÍÎØÉÛÎØÈÊÛÓÐÉéÇÚÏÓÈÈ×ØÛâÍÎÓÎÕÛÌÌÐÓÙÛÈÓÍÎÈÍÊ×ËÇ×ÉÈêìçøÂÍÎÓÎÕÍÎ Project Location: ñÓÊÑÅÍÍØúÐÆØ Exact Street Address: ú×ÈÅ××ÎñÓÊÑÅÍÍØúÐÆØÛÎØéôîÍÊÈÔÍÖÈÔ×æ×ÊÓÂÍÎÙÛÏÌÇÉ Nearest Cross Streets: SPIN Neighborhood: ûÙÊÍÉÉÖÊÍÏñÓÊÑÅÍÍØôÍÐÐÍÅÎ×ÓÕÔÚÍÊÔÍÍØ Additional Location Information: SPIN Neighborhood Representative Recommendation: Ú±® ±ºº·½» «» ±²´§æ (Please indicate Yes or No) Yes No éìóî ÍÐ×Ò Ý¿» Ò±òæ ×²·¬·¿´ Ý±²¬¿½¬æ Î»½±³³»²¼¿¬·±²æ SPIN Meeting Request: ×ÏÛÓÐÖÊÍÏêÍÚúÛÑ×Ê (Please indicate Yes or No) Ú±®³ Î»½»·ª»¼æ YesNo É»¾·¬»æ Desired SPIN Meeting Date: Ý±²²»½¬óÝÌÇæ íÙÈÍÚ×Ê ÛÈìï