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4" - I l <br />lap}~~ <br />E <br />I <br />COUNTY OF LEE <br />BOARDSICOMMISSION 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 IeecouniynC oov. <br />BOARDS AND COMMISSIONS <br />L, I <br />_ SanfordLee County Airport Authority <br />_ Americans with Disabihlies Act (ADA) <br />_ Board of Adjustments (Lee County) <br />_ Board of Adjustments (Sanford) <br />_ Board of Equalization 8 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 />_X Lee County Environmental Affairs Board <br />_ Lee County Board of Health - <br />Industrial Facilities 8 Pollution Control Financing <br />NAME. <br />U4V%S <br />_ Jury Commission <br />_ library Board of Trustees <br />_ Mid-Carolina Workforce Development Ed <br />_ Parks E Recreation Commission <br />_ Planning Board (Lee County) <br />_ Planning Board (Sanford) <br />_ Rest Horne-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 />ADDRESS v~-~U Cf TwS~.n%~ StnTvr~ a. 7330 <br />HOME PHONE: 70 y- ,SSWORK PHONE: f//f-77s`- 7y5-/ <br />PLACE OF EMPLOYMENT: Lee <br />EMAIL: InG a1C1_V'5 y~ [~mdS~I ,Y FAX NO. <br />List any experience/qualifications you have relevant to the above board/commission you are interested in <br />ya,.:e <br />I CERTIFY THAT ALL OF THE INFORMATION CONTAINED IN THIS APPLICATION IS TRUE TO THE <br />BEST OF MY KNOWLEDGE. <br />DATE: Oyl,~ <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 fv1s. 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(@Ieecountync. oov. <br />JUN 5 - 09 <br />