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QUALIFIED SCHOOL CONSTRUCTION BUNKS PROGRAM <br />(QSCB) <br />APPLICATION FOR AUTHORIZATI <br />Submittal Date: 3/16/2012 <br />Contact Person: Len Witke <br />LEA: Cabarrus County Schools <br />Title: Executive Director of Facilities <br />School: Concord Middle School <br />Address: 4425 Old Airport Road <br />Address: 481 Burrage Road Northeast <br />City: Concord, NC 28025 <br />City: Concord, NC 28025 <br />Phone/Fax: (704) 262 - 621916211 <br />New <br />E R e nova tion /Add ition <br />E -mail: len.witke*a cabarrus.kl2.nc.us <br />Certification of Eligibility <br />The Board of Education of the above -named LEA certifies, through a board resolution dated <br />�� � I M , that the QSCB proceeds will be used as follows: <br />Note: A copy of the resolution must accompany this application. <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 the project description, proposed spending plan acrd project schedule <br />must accompany this application. <br />OSCB'S MUST BE ISSUED BY DECEMBER 31, 2012 <br />Cabarrus C ty Scho -Board of Education Cabal us Coun Board o5 Commissioners <br />/-_ Chair �''°�� Chair <br />Secretary Clerk <br />.y' f Z l2 Date 3 ! Date <br />Please return original via certified mail post marked no later than March 16, 2012 to: <br />QSCB — Reallocation Round I <br />School Planning Section <br />North Carolina Department of Public Instniction <br />6319 Mail Service Center <br />Raleigh NC 27699-6319 <br />Attachment number 2 <br />G -3 Page 191 <br />