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QUALIFIED SCHOOL CONSTRUCTION BONDS PROGRAM <br />(QSCB) <br />APPLICATION FOR AUTHORIZATION <br />Submittal Date: 3/16/2012 <br />Contact Person: Len Witke <br />LEA: Cabarrus County Schools <br />Title: Executive Director of Facilities <br />School: Coltrane Webb Elementary School <br />Address: 4425 Old Airport Road <br />Address: 61 Spring Street NW <br />City: Concord, NC 28025 <br />City: Concord, NC 28025 <br />Phone /Fax: (704) 262 - 62191621.1 <br />❑ New <br />M Renovation /Addition <br />E- mail :len.witlre @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 6 /Z wIL , that the QSCB proceeds will be used as follows: <br />Note: A copy ref the resolu ion Hurst accarrrpany this arpplicalion. <br />1. 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 1he project description, proposed spending plan and project schedule <br />must accarrapany this application. <br />{QSCB' S MUST BE ISSUED BY DECEMBER 31, 2012 <br />Cabarrus C ly Sch Board of Education Cabair s Count Board Commissioners <br />Chair. Chair <br />Secretary Clerk <br />a / ! 2 Date 1 Date <br />Please return original via certified mail post marked no later than March 16, 2012 to: <br />QSCB — Reallocation hound 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 179 <br />