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G33 <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 <br />of one of the county's advisory boards, listed below. If you have an interest in being considered <br />for appointment to one of the boards, indicate by placing a check mark by your interest(s), <br />complete the form below, and mail to the address listed at the bottom of the application. For <br />additional information about our committees or to complete an on-line application, please visit our <br />web site at www.leecountync.gov_ <br />BOARDS AND COMMISSIONS <br />_ Sanford-Lee County Airport Authority <br />Jury Commission <br />Americans with Disabilities Act (ADA) <br />_ Library Board of Trustees <br />_ Board of Adjustments (Lee County) <br />_ Mid-Carolina Workforce Development Board <br />_ Board of Adjustments (Sanford) <br />_ Parks & Recreation Commission <br />_ Board of Equalization & Review <br />_ Planning Board (Lee County) <br />Abandoned Cemetery Board of Trustees <br />Planning Board (Sanford) <br />_ CCCC Board of Trustees <br />_ Rest Home-Nursing Home Adv. Board <br />_ Lee County Economic Development Corporation <br />_ Senior Services Advisory Board <br />_X Lee County Fire Advisory Board <br />• _ Social Services Board <br />_ Lee County Environmental Affairs Board <br />-Transportation Advisory Board <br />_ Lee County Board of Health <br />-Juvenile Crime Prevention Council <br />_ Industrial Facilities & Pollution Control Financing <br />Criminal Justice Partnership Advisory Board <br />NAME: Timothy Shaw Sloan <br />ADDRESS: 424 Sloan Lane Sanford N C. 27330 <br />HOME PHONE: 919-258-5618 <br />WORK PHONE: 919-775-7100 EXT 4918 <br />PLACE OF EMPLOYMENT: Wyeth Biotech <br />EMAIL: sloant2(o wveth.com / tssloan(o)windstream, net <br />FAX NO. <br />List any experience/qualifications you have relevant to the above board/commission you are <br />interested in. <br />Please see attached Resume. <br />I CERTIFY THAT ALL OF THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE <br />TO THE BEST OF MY KNOWLEDGE <br />DATE 12/0112008 <br />Signature of Applicant: Timothy Shaw Sloan <br />O <br />DEC <br />