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John Brady RELLEUL3 CITY OF ROSEMEAD DEC 2 i9S8 CITY OF ROSEMEAD APPLICATION FOR TRAFFIC -17--PLANNING ✓ COMMISSIONER CITY CLERKS OFFICE Please print or type:�� l1 �1 NAME: JoNE---, //'`- /T 7)/y ADDRESS: g 3.?7/0 E1fT / //� L E ( A(6'26)--F7/-621A-BUSINESS N6- L RESIDENCE TELEPHONE: � TELEPHONE � Z 90g-17 c7 MALE: ✓ FEMALE: ARE YOU A REGISTERED VOTER IN THE CITY OF ROSEMEAD? y�S HOW LONG HAVE YOU LIVED IN CALIFORNIA? 4.2 yes ROSEMEAD?// /2 /ieS EMPLOYER'S NAME: .S f IL5 BVCf2 / g%F Gf}L/F%T/ b!V CIT or BUSINESS ADDRESS: / 2TZD 67200--E04-2,c/ Pf}2cevJ//9-f rad a/7W, 7/10'64t�y TYPE OF BSINESS: -779--YY /9 lin 77-171-2Z/7 / OUTSIDE BUSINESS INTERESTS: )/7 V&S T/YI C=1) / /71 4/1-46)- 6-2/16--)77- EDUCATION /1-49" 6-7n &-17r- EDUCATION NAME & ADDRESS OF SCHOOL NO. YRS YEAR ATTENDED GRADUATED eI? 7t,KS&A /-/fie—H ( � � / Grammar School pen -cG� Ft- High School V Op1r,,1CCri7? Of /hR7=,L,4n� X77 BST or Univ. o//PJB Pgat, A'u / Night School or (,tn(vF2-9j? .JOu777-trt.O C/Kr F �G 1?�- Corres. School /-nsA-> /&T 3- / PROFESSIONAL AND BUSINESS ASSOCIATIONS: Prf(/ CAf,cE U /9-F<JV `r /f (j I TES S-779-7E75; R✓'« /*J c/v (1-,14_(IC 1774 r& C-7-71/0/ /f-1 J6('/t9-77o/L) ARE YOU DISQUALIFIED TO VOTE IN THE STATE OF CALIFORNIA, COUNTY OF LOS ANGELES, DUE TO A FELONY CONVICTION? ND I AM PRIMARILY INTERESTED IN SERVING ON THE PLANNING COMMISSION 1LIF CAo'ree (Meets the first and third Monday at 7 : 00 p.m. ) I AM PRIMARILY INTERESTED IN SERVING ON THE TRAFFIC COWMISSION SeColcl C/;orC'c (Meets the first Thursday at 7: 00 p.m. ) PERSONAL OR BUSINESS ACTIVITIES THAT WOULD BE IN CONFLICT WITH YOUR SERVING AS A COMMISSIONER: Nene ADDITIONAL INFORMATION YOUEEL WqqqULD p6E HELPFUL TO THE COUNCIL IN MAKING ITS DECISION: /-f es 6Pt�/v/ hr?-(24/(9'? 7-7 Coy rynci Oji1 c( Vice ?ye .1 c%7Ef1I-7n2,71pfet ('07-1/„ Urt, r� / cr_ CA-sr // •106772i; ,i f ,(7/ovc sirera.nca( eta/ ( lco 47 cn (75') Rig. 1C'/C i eel /Yo/2 ( s • c,n`EC ' -a //0/ df,fu1' DATED: (2-72-(77q& A' I C� Ap. ■ - t Signature Note: This questionnaire will be kept on file for consideration by the Council in future Commission appointments. E. 41: 12