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Mee Jin Chen Leong RECL 6 t' '.' $ CITY OF ROSEM'cAD CITY OF ROSEMEAD DEC 1199E taiFl Cl APPLICATION FOR TRAFFIC PLANNING V COMMISSIONER Please print or type: CITY CLERK'S OFFICE NAME: V1\L I Ni C+ Lett R) ADDRESS: 7 J 4 E / ST LE. 's C-Y�-u L cA 9 i 7 7 O RESIDENCE TELEPHONE:6).0 ;?tr ('XBUSINESS TELEPHONE MALE: FEMALE: ARE YOU A REGISTERED VOTER IN THE CITY OF ROSEMEAD? \'.(',"--a HOW LONG HAVE YOU LIVED IN CALIFORNIA? IR ROSEMEAD? 11 EMPLOYER'S NAME: BUSINESS ADDRESS: S 2-6 L CE-Ya c o 3 rn,-_>j, "`` CA clfIr TYPE OF BUSINESS: ,,, -h. OUTSIDE BUSINESS INTERESTS: A1-M- EDUCATION NAME & ADDRESS OF SCHOOL NO. YRS YEAR ATTENDED GRADUATED Pa-C2ett Grammar School ( High School - �- '� 1 ). I96S College or Univ. 117 Night School or .. - — .fie Fi• Corr es. School _ _� � y- — a 91 C PROFESSIONAL AND BUSINESS ASSOCIIONS: B_,ci..,, e%�= �' '"�� ARE YOU DISQUALIFIED TO VOTE IN THE STATE OF CALIFORNIA, COUNTY OF LOS ANGELES, DUE TO A FELONY CONVICTION? 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 (Meets the first Thursday at 7: 00 p.m. ) PERSONAL OR BUSINESS ACTIVITIES THAT WOULD BE IN CONFLICT WITH YOUR SERVING AS A COMMISSIONER: N r.- s ADDITIONAL INFORMATION YOU FEEL WOULD BE HELPFUL TO THE COUNCIL IN MAKING ITS DECISION: DATED: 1'1- — t R – 1 " Azyt ."'"' Applican, Signature /f Note: This questionnaire will be kept on file for consideration by the Council in future Commission appointments. E.41: 12