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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: NW Cabarrus High School <br />Address: 4425 HId Airport Road <br />Address: 5134 NW Cabarrus Drive <br />City: Concord, NC 28025 <br />City: Concord, NC 28427 <br />Phone /Fax: (704) 262 - 621916211 <br />® New <br />El Renovation /Addition <br />E- mail: len.witke[7cabarrus.kl2.nc.us <br />Certification of Eligibility <br />The Board of Education of the above -named LEA certifies, through a hoard resolution dated <br />Z.t) /Z_ , that the QSCB proceeds will be used as follows: <br />Note: A copy of the resohilicn 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 crud project schedule <br />must accompany this application. <br />QSCB' S MUST_ BE ISSUED BY DECEMBER 31, 2012 <br />Cabarrus Cou Scho l and of Education Cab a rus Cou ty Board -of Commissioners <br />Chai Chair <br />., Secretary Clerk <br />.. ?c 2 Date ( _ 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 212 <br />