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• <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 />0 <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 />e 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 />_ 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: 1✓J` c'~T77 -I" P'adc Itc) ii <br />ADDRESS: ~SL O ~ L YIT° t-l <br />HOME PHONE: 919 - 776 -_3 194, <br />WORK PHONE: <br />PLACE OF EMPLOYMENT: r °l_J <br />OCCUPATION: 1 V J r ILd (12Y1~,~ roH C1 V1 &-I MP C,21'-7 <br />EMAIL: <br />FAX NO. <br />I CERTIFY THAT ALL OF THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE TO THE <br />BEST OF MY KNOWLEDGE. <br />DATE: <br />of Appl <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 (ci).leecountync.gov. <br />JAN <br />040 <br />62007" <br />List any experience/qualifications you have, relevant to the above board/commission you are interested in. <br />