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02- 08- 11;06:03PM; <br />9197756056 rr 1/ 2 <br />O]7 <br />CO_UNTYOF_LEE__ <br />APPLICATION TO SERVE ON BOARDS//COMMISSIONS <br />If you are a Lee County citizen interested in serving as a member of one of the County's Advisory Boards, please <br />complete the form below and mall to Clerk to the Board, Lee County Government Center, PO Box 1968, Sanford, NC, <br />27331 -1968 or fax to 718.4631. YOU MUST BE A RESIDENT OF LEE COUNTY TO APPLY. <br />BOARDS AND COMMISSIONS <br />• <br />• <br />Sanford -Lee County Airport Authority <br />Agriculture Advisory Board <br />Americans with Disabilities Act (ADA) _ <br />Board of Adjustments (Lee County) <br />Board of Adjustments (Sanford) <br />Board of Equalization & Review <br />Cemetery Board of Trustees _ <br />CCCC Board of Trustees _ <br />Economic Development Corp. <br />Fire Advisory Board _ <br />_ Environmental Affairs Board _ <br />Board of Health <br />Industrial Facilities & Pollution Control Financing Auth. <br />Jury Commission <br />Library Board of Trustees <br />Mid - Carolina Workforce Development Board <br />Parks & Recreation Commission <br />Planning Board (Lee County) <br />Planning Board (Sanford) <br />Rest Home - Nursing Home Advisory Board <br />Senior Services Advisory Board <br />Social Services Board <br />Transportatlon Advisory Board <br />Juvenile Crime Prevention Council <br />Criminal Justice Partnership Advisory Board <br />NAME: Sandra Bridges <br />MAILING ADDRESS: 506 Carthage St. Sanford <br />HOME PHONE: 774 -4$40 WORK PHONE: 775 -3306 E -MAIL sI bridges Ocharter.net <br />YEARS LIVING IN <br />LEE COUNTY: 40 + DISTRICT YOU LIVE IN: West <br />MALE:_ FEMALE: ­�[ WHITE: _ BLACK; HISPANIC: _ NATIVE AMERICAN _ OTHER <br />(Information for the purpose of assuring a cross section of the community) <br />EMPLOYER: First Choice Home Care Inc <br />OCCUPATION: Owner/ Director/ R.N <br />OTHER MUNICIPAL OR COUNTY BOARDS /COMMITTEES ON WHICH YOU ARE SERVING <br />(Generally, the board of Commissioners desires to broad on participation on eoards/CommIsslcns for as much citizen involvement <br />as possible; therefore per Board pollcy, appointees can serve on no more the Iona (2) Boards /Commisslons at a time. <br />PLEASE LIST THREE (3) LOCAL PERSONAL REFERENCES AND PHONE NUMBERS: <br />1. Margaret Murchison 775 -3525 <br />2. Bob Joyce 775 -7341 <br />3. Dr, Robert McConville 774 -6023 <br />REASON(S) YOU WISH TO SERVE <br />(Attach addition"Ifniot ph space ) <br />SIGNATU r <br />DATE: /�� () // <br />FEB - 8 2a9� � <br />I <br />Iry <br />