Daniel Godoy RECEIVED
CITY OF ROSEMEAD
' CITY OF ROSEMEAD JAN 4 1999
APPLICATION FOR TRAFFIC 1// PLANNING COMMISSIONER ADMINISTRATION
Please print or type: ��'
NAME: .1 ) i} Ane L l0 °� � C— o0
ADDRESS: 96 / 3 0 / /1"e(.7 5-71- •
RESIDENCE TELEPHONE: P$' y` ?1b2/ BUSINESS TELEPHONE Y3 '"" V //
MALE: FEMALE: yes ARE YOU A REGISTERED VOTER IN THE CITY OF ROSEMEAD? / e s
HOW LONG HAVE YOU LIVED IN CALIFORNIA? C2`uf'"3 ROSEMEAD?- 3V 'ti
EMPLOYER'S NAME: P4 S A-D e^� A- a[ :i O i- /-/ C 2
BUSINESS ADDRESS: 6.; 0 u - L/ C fi Cep-
9/! u
TYPE OF BUSINESS: r2 a r
OUTSIDE BUSINESS INTERESTS: 6/6.c.; IA aC'-° vIJ
EDUCATION NAME & ADDRESS OF SCHOOL NO. YRS YEAR
ATTENDED GRADUATED
Grammar School / /,S' 51-- Sc-hccit b 7(7 0
N/5h Cc-A " ‘"
High School 266
College or Univ. i.- 4. 1 c
Night School or
Corres. School
PROFESSIONAL AND BUSINESS ASSOCIATIONS:
ARE YOU DISQUALIFIED TO VOTE IN THE STATE OF CALIFORNIA, COUNTY OF LOS
ANGELES, DUE TO A FELONY CONVICTION? <3/O
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: U wP
ADDITIONAL INFORMATION YOU FEEL WOULD BE HELPFUL TO THE COUNCIL IN
MAKING ITS DECISION:
DATED: L " 2 v- '76V Ca^�
Applicant Signature
Note: This questionnaire will be kept on file for consideration by
the Council in future Commission appointments.
E.41: 12