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NORTH CAROLINA DEPARTMENT OF TRANSPORTATION <br />PETITION FOR ROAD ~DDITION <br /> FORMSR-1 KEVISED 1-9 <br /> <br />ROADWAY INFORMATION: (Please Print) <br /> <br />County: Road Namc: <br /> (Pl~s¢lisr additional street· nam~'and'lenglhs on the back oflhis form.) <br /> <br />Subdivision Nime: <br /> <br />Number of occupied homes having street frontage: <br /> <br />Location: miles N S E W of the ~ntersection of Route <br /> (Circle one) <br /> <br />We, the undersigned; being property owners and/or developer of <br /> <br />Length (miles): <br /> <br />and Route <br /> <br />(SR, NC or US) (SR, NC or US) <br /> <br />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 />Name: <br /> <br />S~-eet Address: <br /> <br />Mailing Address: <br /> <br />Phone N umber: <br /> <br />NAME <br /> <br /> PROPERTY OWNERS <br />MAILING ADDRESS TELEPHONE <br /> <br /> <br />