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12 <br />CITY OF COLTON <br />COMMUNITY DEVELOPMENT DEPARTMENT <br />PLANNING DIVISION <br />659 N. LA CADENA DRIVE <br />COLTON, CA 92324 <br />TELEPHONE: (714) 370-5079 <br />MOBILE HOME RENT CONTROL COMMISSION APPLICATION <br />NAME: Uaje ta.')A ��� �o��Glist7 4l DATE: <br />ADDRESS. �L 4 ")Ct r� , y � 3 / <br />TELEPHONE: DAY: (20y) Y3 'S" <br />CHECK,.,� <br />Mobile Home Park Tenant <br />11 Yes <br />U No <br />Elected City Official <br />❑ Mobile Home Park Owner <br />❑ Yes <br />ONo <br />Relative Of Elected City Official <br />❑ City Resident (not In mobile <br />❑ Yes <br />a'No <br />City Employee <br />home park) <br />❑ Yes <br />ao <br />Relative Of City Employee <br />❑ Yes <br />CYN <br />Operator/manager Of Mobile Home Park <br />PERSONAL STATEM ENT REGARDI NO REASON (S) FOR DESI RI NO APPOI NTM ENT TO TH E MOBILE HOME RENT <br />CONTROL COMMISSION: p <br />e e nov £ Jwe p9� /1 oK t) <br />❑ Yes <br />[j-�No <br />Related To Mobile Home Park Owner <br />0 <br />VOLUNTEER EXPERIENCEAND;OR <br />ORGANIZATIONS: <br />PERSONAL STATEM ENT REGARDI NO REASON (S) FOR DESI RI NO APPOI NTM ENT TO TH E MOBILE HOME RENT <br />CONTROL COMMISSION: p <br />e e nov £ Jwe p9� /1 oK t) <br />Q ,� e1 <br />4..c l, . v.t.o1.� <br />?"Lie —•Cj <br />d s AWA &"ooeA <br />a" T A s��i :r 5 <br />SIGNATURE: �. <br />4COM,AP <br />S <br />M _ Ll- D e n v TG . , r► . rr <br />