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G 3 9 <br />0 <br />• <br />u <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.leecountync.gov. <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 />HOME PHONE: 910--Y9 9 - Z?Z L, WORK PHONE: 119- 775'-- 117- 1 <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: 7p yyt C,(.-; -1 r,,3(0z:~ ON~) <br />ADDRESS: 16'4S Soffi t-1 ';~2/~-A) UA.r Z J L S( FoK t~ / l~~ C` ~753~ <br />PLACE OF EMPLOYMENT: SCLF - wtpCO `t t= C-) <br />EMAIL: C(Arol;na~ '14X~ ~)L Ya_Co/tFAXNO. N/A <br />List any experience/qualifications you have relevant to the above board/commission you are interested in. <br />- Ae we (r'tCwri'x2 r-)F -tog -zs (-'KNPa CL-kuKtli <br />- ItttS5lc~rJ VOL v~tr ~ 2 Ai LI F(= LIrJC n(Lu6 ~ ALCOHOL 1K 140j <br />- l tCRm 43 &1k LLt 01 n if n-1 <br />I CERTIFY THAT ALL OF THE IP <br />BEST OF MY KNOWLEDGE. <br />DATE: l' IS - D <br />w <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 />g lee(a)leecountync. gov. <br />JAN 1 5 2000 <br />FORMATION CONTAINED IN THIS APPLICATION IS TRUE TO THE <br />