Wing Lew RECEIVED
CITY G ROSE M .il
CITY OF ROSEMEAD JAN 2 11999
APPLICATION FOR TRAFFIC •/ PLANNING _ COMMISt7.1QNaWRK'S OFFICE
Please print or type:
NAME: //I//2I�l� 4'0s-37/161D n
ADDRESS: /79/3 Gl//,V/77tOl&- 5r j c4 97270
RESIDENCE TELEPHONE: 6zb-Zco--(w3BUSINESS TELEPHONE 3/0- 6'i42 ;26Z.
z
MALE: FEMALE:
ARE YOU A REGISTERED VOTER IN THE CITY OF ROSEMEAD? YQf
HOW LONG HAVE YOU LIVED IN CALIFORNIA? 2 6 ROSEMEAD? //‹Z
EMPLOYER'S NAME: 4�yT//ecVN sf'sjrfil
BUSINESS ADDRESS: 2060 L . Z( 5-ce6eypG "L'D/ Ce‘ 566
TYPE OF BUSINESS: /-?CRO Sp%r'F /oCercr,fU/✓/C
OUTSIDE BUSINESS INTERESTS:
EDUCATION NAME & ADDRESS OF SCHOOL ANO. YRS TOENYRS GRADUATEDAR
t//cre 2itI r'o t t Eec 19��
Grammar School H,4r R19/1/9V/Grog//1 roe C fge- / 97/
High School fi4No /COi-/6 iger
G/ ✓ry-.p - CN/i ' ,;€714 41. /979
College or Univ. L6/ D/✓d6(r lA
Night School or
Corres. School
PROFESSIONAL AND BUSINESS ASSOCIATIONS:
Nv
ARE YOU DISQUALIFIED TO VOTE IN THE STATE OF CALIFORNIA, COUNTY OF LOS
ANGELES, DUE TO A FELONY CONVICTION? /I / ' ..,,,,CC� � /�
I AM PRIMARILY INTERESTED IN SERVING ON THE PLANNING COMMISSION 7 1 .
(Meets the first and third Monday at 7 : 00 p.m. )
I AM PRIMARILY INTERESTED IN SERVING ON THE TRAFFIC COMMISSION )4$
(Meets the first Thursday at 7 : 00 p.m. )
PERSONAL OR BUSINESS ACTIVITIES THAT WOULD BE IN CONFLICT WITH YOUR
SERVING AS A COMMISSIONER: 4/07.74%
ADDITIONAL INFORMATION//w'4!YOU FEEL WOULD BE HELPFUL TO THE COUNCIL IN
MAKING ITS DECISION: 1H/cf6W c/J/N /9/4
,4NP ccn a7..7 .
DATED: 1/4 o /f F
Applicant
Note: This questionnaire will be kept on file for consideration by
the Council in future Commission appointments.
E.41: 12