SPIN2014-10 Meeting Request Form (2)
Southlake Program for the Involvement of Neighborhoods
Meeting Request Form
Applicant Contact Information:
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Name:
+VIIR[E]-RZIWXQIRX'SQTER]
Business:
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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.)
'EVVSPP4SMRXI)PSRKEXMRKX[SGERSTMIWERHEHHMRKEKIRIVEXSVIRGPSWYVIXSFYMPHMRK%XS
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Project Location:
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Exact Street Address:
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7)'
Nearest Cross Streets:
1EXX7GLMVPI
SPIN Neighborhood:
Additional Location Information:
SPIN Neighborhood Representative Recommendation:
For office use only:
(Please indicate Yes or No)
Yes No
SPIN Case No.:
Initial Contact:
Recommendation:
SPIN Meeting Request:
(Please indicate Yes or No)
Form Received:
YesNo
Website:
Desired SPIN Meeting Date:
Connect-CTY: