Darrel Kelty Rtt:r :
CITY OF ROSEM3AD
DEC 2 ;998
CITY OF ROSEMEAD CITY CLERICS OFFICE
APPLICATION FOR TRAFFIC x PLANNING COMMISSIONER
Please print or type:
Darrel D. Kelty
NAME:
ADDRESS: 4443 Earle Ave. Rosemead, Calif 91770
RESIDENCE TELEPHONE: 626-285-6987 BUSINESS TELEPHONE 626-443-2473
MALE: XX FEMALE:
ARE YOU A REGISTERED VOTER IN THE CITY OF ROSEMEAD? YES
HOW LONG HAVE YOU LIVED IN CALIFORNIA? 55 yaarsROSEMEAD? 25 years
EMPLOYER'S NAME: C.W. Cole & "Co.
BUSINESS ADDRESS: 2560 Rosemead Blvd. So. El Monte, Calif. 91733
TYPE OF BUSINESS: Manufacturer of lighting fixtures, exit signs
OUTSIDE BUSINESS INTERESTS:
EDUCATION NAME & ADDRESS OF SCHOOL NO. YRS YEAR
ATTENDED GRADUATED
James Madison 8 1957
Grammar School San Gabriel, Calif
San Gabriel High School 4 1961
High School Alhambra, Calif
Delaware State Cnllege 2
College or Univ. Dover, Del
Night Cohool ► Calif State Univ Long Raarh 3 1965
Gorres Schnnl Long Beach, Calif
PROFESSIONAL AND BUSINESS ASSOCIATIONS: Notary Public-
ARE
u,blirARE YOU DISQUALIFIED TO VOTE IN THE STATE OF CALIFORNIA, COUNTY OF LOS
ANGELES, DUE TO A FELONY CONVICTION? NO
I AM PRIMARILY INTERESTED IN SERVING ON THE PLANNING COMMISSION
(Meets the first and third Monday at 7 : 00 p.m. )
I AM PRIMARILY INTERESTED IN SERVING ON THE TRAFFIC COMMISSION XX
(Meets the first Thursday at 7:00 p.m. )
PERSONAL OR BUSINESS ACTIVITIES THAT WOULD BE IN CONFLICT WITH YOUR
SERVING AS A COMMISSIONER:
ADDITIONAL INFORMATION YOU FEEL WOULD BE HELPFUL TO THE COUNCIL IN
MAKING ITS DECISION:
DATED: 16- W G C -
App leant Signature
Note: This questionnaire will be kept on file for consideration by
the Council in future Commission appointments.
E. 41: 12