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. ZOR 0='fi Cr L *cr ONry <br />____ ___"________________ <br />ORANGE COUNTY RESIDENTS <br />A P P L I C A T I O N <br />FOR SERVING ON <br />COMMISSIONERS' APPOINTED <br />BOARDS AND COMMISSIONS <br />Name: : James W. Colavito <br />Mailing Address: 7213 Black Mountain Road; Chapel Hill Zip Code: 27516 <br />Road or Street Name: Same <br />Telephone Home: : 929 -8684 Telephone Business: 732 -8126 <br />Ethnic Background: Black Indian White �X Other <br />Sex: Male: X Female: Date of Birth: :-121-131,9 <br />occupation: Assistant Superintendent for Orange County Schools <br />Community Interests and Activities:: <br />Please check the Township in which you reside: Bingham . <br />Cedar Grove Z- Chapel Hill Cheeks Eno <br />Hillsborough Little River. Is your residence in the <br />extraterritorial area of a municipality? Yes No. <br />On the reverse side of the application rank the Boards /Commissions in <br />the order of interest, with T 1 being the first choice of volunteer <br />service. <br />Remarks: <br />Date: J- Si �— <br />Signature: <br />Return to: Beverly Blythe <br />Clerk to the .Board of County Commissioners <br />109 Court Street <br />Mailing Address: P.O. Box 8181 <br />Hillsborough, North Carolina 27278 <br />