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Cup <br />COUNTY OF 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 mail to Clerk to the Board, Lee County Government Center, PO Box 1968, Sanford, <br />NC, 27331 -1968 or fax to 7184631. YOU MUST BE A RESIDENT OF LEE COUNTY TO APPLY. <br />BOARDS AND COMMISSIONS <br />Sanford -Lee County Airport Authority <br />AgP&#uwrAdvwo6q3ewA <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 />Mental Health Board <br />Jury Commission <br />_ Library Board of Trustees <br />_ Parks & Recreation Commission <br />X Planning Board (Lee County) <br />_ Planning Board (Sanford) <br />_ Senior Services Advisory Board <br />_ Social Services Board <br />Transportation Advisory Board (COLTS) <br />_ Juvenile Crime Prevention Council <br />_ Industrial Facilities & Pollution Control <br />Financing Authority <br />_ Rest Home - Nursing Home Advisory Board (cannot have <br />a relative residing in a facility) <br />NAME: Paul Alexander <br />MAILING ADDRESS: 784 Gilliam Rd., Sanford, NC 27330 <br />HOMEPHONE: 919- 775- 5777 WORKPHONE: 571- 228 -9884 E -MAIL <br />YEARS LIVING IN <br />LEE COUNTY: 12 <br />paul.e.alexanderol @gmail.com <br />DISTRICT YOU LIVE IN: <br />Pocket <br />MALE: X FEMALE: _ WHITE: X BLACK: HISPANIC: NATIVE AMERICAN OTHER _ <br />(Information for the purpose of assuring a cross section of the community) <br />EMPLOYER: <br />Time Warner Cable <br />OCCUPATION: Director, Contract Negotiations <br />OTHER MUNICIPAL OR COUNTY BOARDS /COMMITTEES ON WHICH YOU ARE SERVING: <br />None <br />(Generally, the Board of Commissioners desires to broaden participation on Boards /Commissions for as much citizen involvement <br />as possible; therefore per Board policy, appointees can serve on no more than tm (2) Boards /Commissions at a time. <br />PLEASE LIST THREE (3) LOCAL PERSONAL REFERENCES AND PHONE NUMBERS: <br />1 Susan Alexander, Lee County Library Board, 919- 356 -6362 <br />2 Becky Cogan, Central Electric Board President, 919- 776 -6405 <br />3. Michael Matochik, Director Lee Count Library, 919- 718 -4665 ext. 5488 <br />REASON(S) YOU WISH TO SERVE A desire to serve the community and partici <br />in its managed growth. <br />(Attach additional page if in a space is r�yede� <br />SIGNATURE: <br />DATE: 6 -22 -2012 <br />NOTE: ALL TAXES MUST BE PAID IN FULL BEFORE BEING CONSIDERED FOR APPOINTMENT <br />JUN 2 6 2012 <br />i <br />