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• <br />Rx Date/Time JAN-09-2009(FRI) 08:51 1 919 774 1860 <br />01/09/2009 FRI 9:10 FAX 1 919 774 1860 CENTRAL ELECTRIC <br />COUNTY OF LEE <br />BOARDSlCOMMISSION APPLICATION <br />P. 002 <br />2002/002 <br />G38 <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 orto complete an on-line application, please visit our web site at www.leecountync.oov_. <br />BOARDS AND COMMISSIONS <br />• <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 />Lem~ County Economic Development Corporation <br />_,Cee County Fire Advisory Board <br />_ Lee County Environmental Affairs Board <br />_ Lee County Board of Health <br />_ Industrial Facilities & Pollution Control Financing <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 />'NAME: J01,_" (15 +A <br />ADDRESS: 3SI a Cerw'e-Fe.r~t r A SCr,L-~Zr-J <br />HOME PHONE:-777- a873 WORK PHONE: 5V O Cuj2, <br />PLACE OF EMPLOYMENT: Is C_ C e3elt+ no t <br />OCCUPATION: <br />e P4 c,, uLr- Q <br />EMAIL: J O Sbut~ Sgt ® WirJdS4reo FAX NO. <br />List any experience/qualifications you have relevant to the above board/commission you are interested in. <br />I CERTIFY THAT ALL OF THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE TO THE <br />BEST OF MY KNOWLEDGE. <br />DATE: I - J- O <br /> <br />- dr ~Jd~(i`-~ <br />Signature of Applicant <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 />glee(cD.leecoum nc.oov. <br />Cl <br />JAN 9 - QQ9 " <br />