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0 3 2 <br />0 <br />COUNTY OF LEE <br />BOARDS/COMMISSION APPLICATION <br />The Lee County Board of Commissioners believes that all citizens should have the opportunity to <br />participate in governmental decisions. One way of participating is by serving as a citizen member of one <br />of the county's advisory boards, listed below. If you have an interest in being considered for appointment <br />to one of the boards, indicate by placing a check mark by your interest(s), complete the form below, <br />and mail to the address listed at the bottom of the application. For additional information about our <br />committees or to complete an on-line application, please visit our web site at www. leecounlvnc oov. <br />BOARDS AND COMMISSIONS <br />_ Sanford-Lee County Airport Authority <br />_ Americans with Disabilities Act (ADA) <br />_ Board of Adjustments (Lee County) <br />_ Board of Adjustments (Sanford) <br />_ Board of Equalization & Review <br />_ Abandoned Cemetery Board of Trustees <br />_ CCCC Board of Trustees <br />Lee County Economic Development Corporation <br />✓ Lee County Fire Advisory Board <br />_ Lee County Environmental Affairs Board <br />_ Lee County Board of Health <br />- Industrial Facilities & Pollution Control Financing <br />NAME: <br />. ADDRESS: to G' I D f=L- P R <br />HOME PHONE: r ~ r <br />WORK PHONE:--~ <br />PLACE OF EMPLOYMENT: _-TQ~.71 - E <br />EMAIL: <br />2-7330 <br />FAX NO. <br />L~ <br />List any experience/qualifications you have relevant to the above board/commission you are interested in. <br />TILL ~N U S l~l Eor r IN i60tS WA5 1-I r FtaH i I-F, <br />~lZiv4=1~ PL/IV(P0[ _W/1TOR AWD 14 LAS`f YEAP- W/a5 <br />( kRL I 5PECT0R, Vvi,5 "~J AN1 C2D VOi F b \)EPzAL. <br />YL-__Aizs, AL o SECY.- I,-2rA5, cal= S,t ,D, f--o P- 5EVEN YL=71~ zS. <br />I CERTIFY THAT ALL OF THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE TO THE <br />BEST OF MY KNOWLEDGE.Q yp' l <br />DATE: LCeJ <br />Signature of Applicant <br />~i <br />v <br />NOTE: MUST BE _A RESIDENT OF LEE COUNTY, CAN ONLY SERVE ON ONE (1) BOARD AT A <br />TIME. <br />Return completed application to Ms. Gaynell Lee, Clerk to the Board of Commissioners, PO Box 1968, <br />106 Hillcrest Drive, Sanford, North Carolina, 27331-1968, or fax to 774-8407 or e-mail to <br />gleealeecountync.gov. <br />_ Jury Commission <br />_ Library Board of Trustees <br />_ Mid-Carolina Workforce Development Bd. <br />_ Parks & Recreation Commission <br />_ Planning Board (Lee County) <br />_ Planning Board (Sanford) <br />_ Rest Home-Nursing Home Adv. Board <br />_ Senior Services Advisory Board <br />_ Social Services Board <br />_ Transportation Advisory Board <br />_ Juvenile Crime Prevention Council <br />Criminal Justice Partnership Advisory Bd. <br />DEC 15 2008 <br />