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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: Caharrus County Schools <br />Title: Executive Director of Facilities <br />School: Various Schools - Pitt School <br />Address: 4425 Old Airport Road <br />Road Elementary School (331), Bethel <br />Elementary School (308), CC Griffin <br />Middle School (318) <br />Address: <br />City: Concord, NC 28425 <br />City: Concord, NC <br />Phone /Fax: (704) 262- 6219/6211 <br />❑ New <br />E -mail: lcn.witke@cabarrus.kl2.nc.us <br />® Renovation /Addition <br />{Certification of Eligibility <br />The Board of Education of the above -named LEA certifies, through a board resolution dated <br />442clllZ� Zr�i , 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 crud project schedule <br />must accompany this application. <br />�: "1►►►11i���: �l6Y�Y! � : '�i��L�lu�:��l:�t� r�i L►� <br />Cabarrus Cou cho.LB and of Education Ca rrus C rn Bo of Commissioners <br />Chair Chair <br />Secretary Clerk <br />C <br />Z Date 14=D Date <br />Please return original via certified mail post marked no later than March 16, 2012 to: <br />QSCB — RealIocation Found I <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 221 <br />