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NORTH CAROLINA DEPARTMENT OF TRANSPORTATION Mdg '~ ~ <br /> PETITION FOR ROAD ADDITION ~.;~PART~tt:','FF OF 'FRA;qSPORTATt0~ <br /> FORM SA-1 REVISED 1-9 <br /> <br />DISTRICT ENGINEER <br /> QtVISION <br /> <br />ROADWAY INFORMATION: (Please Print) <br /> <br /> (Please list additional street names and lengths on the back of this form.) <br />Subdivision Name: C~_.8t~Lr; 5/~00 t~ /~ff'c°.~ Length(miles): <br /> <br />Number of occupied h(Jmes having sareet frontage: <br />~.o:at~o.: . 3m,esN S ~ W o~the~te,~eotio, o~oa~e I 5C. ~IC ~.d~oute <br /> (Clinic one) (SR, NC or US) (SR, NC or US) <br />We, the undersigned, being property owners and/or developer of C~9~1~ ~t~'DD[~j. ~C~'Q__~ iii <br /> (: f), h ('/~, t'~ ~ L(. 7 County, do hereby request the Division of Highways to add the above described road. <br /> <br />CONTACT PERSON: Name and Address of First Petitioner. (Please Print) <br /> <br />Phone Number:{''- 7g 6-89V( <br /> <br /> PROPERTY OWNERS <br />NAME MAILING ADDRESS TELEPHONE <br /> <br />E~to <br /> <br /> <br />