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2001-04-03 P & Z Agenda
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2001-04-03 P & Z Agenda
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<br />Personallnfonnation - Part 2 <br /> <br />4. If you have ever used or been known by a name or names other than the true name given on the preceding page, list such <br />name(s) and information concerning dates and places used: <br /> <br />5. Address(es) at which you have lived during preceding five years. (Begin with present or last address and work back.) <br /> <br />(Street Address) <br /> <br />(City,State,Zip) <br /> <br />1"-) <br /> <br />(Street Address) <br /> <br />(City,Stale.Zip) <br /> <br />(Dates) <br /> <br />(SIreetAddfess) <br /> <br />IC"", s..., ZJp) <br /> <br />(Oales) <br /> <br />(Street Addr8ss) <br /> <br />(City, State, Zip) <br /> <br />(08181) <br /> <br />(Street Address) <br /> <br />(City,Slate,Zip) <br /> <br />(Oate$) <br /> <br />6. Kind, name and location of every business or occupation you have been engaged in during preceding five years. (Begin <br />with present or last occupation and work back.) <br /> <br />(Business or OCOJplltion) (Street Address) (City,ShIte,Zip) <br />(Business or occupation) (Street Address) (City,Stale,Zip) <br />(Business or occupation) (Street Address) IC"". ...., ZJp) <br />(Business or occupation) (Street Address) (City,SIaIe,Zip) <br />(BUsiness or occupation) (Street Addnlss) (City,State,Zip) <br /> <br />7. Names and addresses of your employers and partners, if any for the preceding five years. (Begin with present or last <br />address and work back.) <br /> <br />(NAMES: Employers or Partners) <br /> <br />(Street AdtIress) <br /> <br />(City,State, Zip) <br /> <br />(NAMES: Employers or Partners) <br /> <br />(Street AddteSS) <br /> <br />(City, State, Zip) <br /> <br />(NAMES: Employers or Partners) <br /> <br />(Street Address) <br /> <br />(City, Slate,Zip) <br /> <br />(NAMES; Employflrs or PartnerI) <br /> <br />(SlreetAddress) <br /> <br />(City,Slate,Zip) <br /> <br />(NAMES: Employers or Partners) <br /> <br />(SIreeIAddress) <br /> <br />(City, State, Zip) <br /> <br />8. Have you been convicted for any crime other than a traffic offense during the past year? Yes _ No <br /> <br />If yes, give information as to the time, place and offense for which convictions were had: <br /> <br />(2) <br />
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