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0~0 <br />• <br />COUNTY OF LEE <br />BOARDS/COMMISSION APPLICATION <br />The Lee County Board of Commissioners believes that all cozens 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 betow_ 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 ow <br />committees or to complete an on-line application, please visit our web site at www leecountync nov- <br />BOARDS AND C0f`iFMSSIONS <br />is <br />_-Sanford -Lee County Airport Authonly <br />Americans with Disabilities Act (ADA) <br />_ Board of Adjushnerns flee County) <br />_ Board of Adjustments (Sanford) <br />_ Board of Equalization 8 Review <br />Abandoned Cemetery Board of I ruslees <br />\rCCCC Board of trustees <br />Lee County Economic Development Corporanon <br />_ Lee County Fire Advisory Board <br />_ Lee County E nvifonmental Afiaus Board <br />_ Lee County Board of Health <br />- Industrial Facilities 8 Pollution Control Financing <br />NAME_ J~=~ FI') r7 Il nl r~ <br />Jury Commission <br />- I. ibrary Board of Trustees <br />_ Mid -Carolina Workforce Development Bd <br />_ Parks 8 Recreation Commission <br />Planning Board (Lee County) <br />_ Planning Board (Sanford) <br />_ Rest Home-Nu,sing Home Adv. Board <br />_ Senior Services Advisory Board <br />Social Services Board <br />_'Lzmusportabmn Advisory board _ <br />w~Juvenile Crime Prevention Counci <br />.I uomal Justice Partnership Advisory Bd.' n 0 r <br />V6LC C=~n-v_t-~ <br />r <br />ADDRESS r .r <br />1 ~,r <br />HOME PFIONE-•~ r WORK PHONE_ <br />PLACE OF EMPLOYMENT- ~ C _ C) -r~, i/ t(v, <br />EMAIL. I <br />FAX NO <br />List any experience/qu Vbkahons you lave relevant to the above board/commission you are interested in. <br />'F~ ~ ~7•i7/ ffE~- <br />07 <br />~i Jri C <br />Gov 4 T^-~- <br />I CERTIFY THAT ALL OF THE INFORMATION CONfAIN[D IN THIS APPLICATION IS TRUE TO THE <br />BEST OF MY. KNOWLEDGE- 7 <br />DATE- L_, F ,%-7Cfx <br />mgnatr re of Applicant jj <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 Carohna, 27331-1968, or fax to 774-8407 or e-mail to <br />lee leecountvnc nov. <br />It n IL ' ~F~ 1 ✓ ~_l / l MAY 1 5X008 <br />_1 <br />