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Thu apace fee oPaee uu evly <br />I1/E9N1 Yvgelafl Danglu P. Gwltl <br />V TEER.4PPLICA'EION <br />oRANCe covNFy BOnans ANO COMmISSIOxs <br />Ifyau am aP Orenge LrowtryneidmL at I®et IB yceva old, aodmlling w valmm¢ yow lime <br />and upeetis<to ypw miry. Plea oomplem this apFEeadm and.ew.n w: <br />v O(enga County COmmiaaimm'O15w <br />N.O. BOx ftIgl <br />Hillabomeeh, NC 2J2]8 <br />Phm:e (919)]45-2125;688-9331; 22]J031 PX (919J6K0246 <br />NANIIi'.--.-......- ._DOUgIVe P.C "Id <br />HOIVW ADDAF55:---~-~- -~-SISBOwtlm AOad <br />CfIY:.._ _ .. .. _L1ePel Hill <br />6TATE:~ ~ ~ -NC <br />P,II'CroDE: .___ _ . -.._.2]516 <br />15LEPNONE (Hamel-- -919942-9tl52 <br />1F12PHONb:(Wmk) ~ -919-942-8006 <br />TpLEPROIJS (FAK) --~- -~-~ 919-9fi9-0953 <br />6MAd:. -eadhyvY198GiY°I'oo.mm <br />PLAC£ OP FMPLOYItl1:NT: - Fewoort Evvlmnmmnl Anouale¢, Inc <br />IOD TITI F: ~ ~ ~ --~-C6P,Preuitlem, Ownec <br />TOWNSHIP DP RPSmPNCG:-CFopel Hill <br />]ANE OP W:6IDENCS <br />SEX: ~ ~ ~ ~~ ~ -Mule <br />Ei1WIC BACKGAO[P..Ti ---GUnaiav <br />DATE OF BHtTH: ----- --~--0165/56. <br />LI6L MPRHFERENCP, FHEBDARDS/CPMM96ION5Op' WBICH YOOWOULD BF WILLMO <br />i0 SCRVE:L ---------Solid WesR Advisory Board <br />2. <br />3: _-_ .-.-_-_ _-_ <br />Plenseliat wwk volunme[ ens etluea4iww exam <br />woxx PxrealeNC6. smm~envbonwmlal conswww; owm.., ceo,PRaamt rreanoa <br />Evvlronmmml ASSOCU1G, Irtn <br />VOLIIN'l'HER B%PER@NCE: Mnslafw, belpivg emmwirybrnedts and msnvele. <br />PDCCATIONAL E).PEItIENC@ BA.IINC-OH, FFnrownevml9uicma. <br />OTHPRCOMMEIJiS: I wnwd litre to be inwlvad in Iheplmnin6 mddevelapmevtof[M1e Solid <br />Wasm S)~s[emiwmY wmmnwry <br />Row did you beoeme awme ueorenga cowry volmte¢oppmnw[IesP Wst nn tLat epoiv: <br />Olber. if otber,fiow?Blav Pollack, By mbmitting elec[rowc applicenm, applicaw ageeew <br />Ethics Guidelines and aaees m ea¢nd LVee-how onrnmtion Tnis form was eubmitled mlinq on <br />Thn Nov 2910:05:02 2001. <br />