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QUALIFIED SCHOOL CONSTRUCTION BONDS PROGRAM <br />(QSCB) <br />APPLICATION FOR AUTHORIZA'T'ION <br />Submittal Date: 311612012 <br />Contact Person: Len Witice <br />LEA: Cabarrus County Schools <br />Title: Executive Director of Facilities <br />School: CC Griffin Middle School <br />Address: 4425 Old Airport Road <br />Address: 7650 Griffins Gate Dr SW <br />City: Concord, NC 28025 <br />City: Concord, NC 28025 <br />Phone/Fax: (704) 262 - 621916211 <br />❑ New <br />® Renovation /Addition <br />E- mail :len.witke @cabarrus.kl2.nc.us <br />Certification of Eligibility <br />The Board of Education of the above -named LEA certifies, through a board resolution <br />dated /t't',Q'' /Z, go <br />/Z , that the QSCB proceeds will be used as follows: <br />Note: A copy ofth ere solution roust accompany this application. <br />Construction, rehabilitation, or repair of a public school or for land acquisition for such a <br />facility (not land for a future project). <br />2. Provision of equipment to be used in the portion of the public school facility to be <br />constructed, rehabilitated, or repaired with QSCB funds (not personal computers or <br />similar technology). <br />Note: A copy of the project description, proposed spending plan and project schedule <br />must accompany this application. <br />SCB'S MUST BE ISSUED BY DECEMBER 31. 2012 <br />x) <br />Cabarrus C Sch 61 . and of Education Cabal us CounW BoardCommissioners <br />� -u" Chair o- Chair <br />Secretary Clerk <br />?.v Date 3 — t Date <br />Please return original via certified snail post marked no later than March 16, 2012 to: <br />QSCB — Reallocation Round 1 <br />School Planning Section <br />North Carolina Department of Public Instruction <br />6319 Mail Service Center <br />Raleigh NC 27699 -6319 <br />Attachment number 2 <br />G -3 Page 176 <br />