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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: Mt Pleasant Middle School <br />Address: 4425 Old Airport Road <br />Address: 8325 Highway 49 N <br />City: Concord, NC 28025 <br />City: Mt Pleasant, NC 28124 <br />Phone/Fax: (704) 262- 621916211 <br />F] New <br />Z Renovation /Addition <br />E- mail :len.witke @cabarrus.k12.nc.us <br />Certification of Eligibility <br />The Board of Education of the above -named LEA certifies, through a board resolution dated <br />,clf/Z, I.c1J , that the QSCB proceeds will be used as follows: <br />Note; A copy of the resolu must accompany this at}plica <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 />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 oj'the project description, proposed spending plan and project schedule <br />nxust accompany this application. <br />QSCB'S MUST BE ISSUED BY DECEMBER 31, 2012 <br />Cabarrus Cou Scho ,B rd of Education Cab us Cou y yard Commissioners <br />Chair � Chair <br />Secretary Clerk <br />O/Z Date — l Date <br />Please return original via certified mail 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 3 <br />G -3 Page 206 <br />