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SPIN2014-11 Meeting Request Form
r#A.f PINZ* iv'k Southiake Program for the Involvement of Neighborhoods Meeting Request Form Applicant Contact Information: Name: Business: l c,0 GOB ✓` E-mail: I i4 10 UjLASMA — i C�,... Work Phone: Alternate Phon 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 Southlako Boulevard.) 1� We lgP,,4,,&f t I zis, ©&7 E - burr �� I r� pac n Si x �c�t{c� tL<S� cotes 0-4 1 tnw t�v� v+� �.'f aceey Project Location: Exact Street Address: i S Nearest Cross Streets: SPIN Neighborhood: Additional Location Information:. SPIN Neighborhood Representative Recommendation: (Please indicate Yes or No) $'Yes ❑ No SPIN Meeting Request: (Please indicate Yes or No) ,'Yes ❑ No Desired SPIN Meeting Date: For office use only: SPIN Case No.:,SPI WV l g r t I Initial Contact: Z' 2-q, Iq Recommendation: Form Received: f/Li! q Website: 3r 1 q Connect-CTY: