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Are you available for evening meetings? <br />References <br />Name: <br />Relationship to you: <br />Name: <br />Relationship to you: <br />Phone: <br />Phone: <br />Applicant Signature: Date: <br />Parent/Guardian Signature: <br />Please return this application in person or via mail to: <br />10/2012 <br />Tem Lea Hugie <br />Clerk to the Board <br />Cabarrus County <br />P.O. Box 707 <br />Concord, NC 28026-0707 <br />Fax: 704-920-2820 <br />tlhugie@cabarruscounty.us <br />rNCm"sRinn .n <br />[OOPEEXTTYE <br />SIEMENS EXTENSION <br />.�. — rmzwo„u Pox.m.o-ysowew. <br />Aftchmenl number 5 \n <br />H-2 Page 141 <br />