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QUALIFIED SCHOOL CONSTRUCTION BONDS PROGRAM <br />(QSCB) <br />APPLICATION FOR AUTHORIZATION <br />Submittal Date: 3/1612012 <br />Contact Person: Len Witke <br />LEA: Cabarrus County Schools <br />Title: Executive Director of Facilities <br />School: NW Cabarrus High School <br />Address: 4425 Old Airport Road <br />Address: 5134 NW Cabarrus Drive <br />City: Concord, NC 28025 <br />City: Concord, NC 28027 <br />Phone/Fax: (704) 262 - 621916211 <br />® New <br />[] 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 />/Z - , that the QSCB proceeds will be used as follows: <br />Note: A co afthe resolution must accomp this app <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 and project schedule <br />must accompany this application. <br />SC B'S MUST BE ISSUED BY DECEMBER 31 2012 <br />Cabarrus Co t Scho " and of Education Cabo • •us Coui �B and f Commissioners <br />Chair Chair <br />Secretary Clerk <br />Date 3 — t z 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 209 <br />