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NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATION~y~f~ <br /> <br />North Ca~lina <br /> <br /> Petition request for (check one) Addition to State System <br /> Paving { ) .DISTR)CT ENGINEER <br /> Maintenance Improvement ( ) DIvisION 10 <br /> <br /> · We the undersigned, being property owners on K~¥J! <br />'t~ ~.~ ~-~ ~)~o~ (Describe or give local name or <br /> SecondirY Road Number) in ~A~zR~ County do herxeby request the <br /> Division of Highways of the D~p'a~tment of Transportation to <br /> the above-described road. <br /> <br /> We further advise that the road requested to <br />in length and at the present time there are ~:) <br />the road and_having_entrances_into_the-_road. <br /> <br />~l~-~l~ is ~o~L miles <br />o~upied homes located on <br /> <br /> Finally, we agree to dedicate to the Division of Highways a right-of-way of <br />the necessary width to construct the road to the minimum construction standards <br />required by the Division of Highways. This right-of-way will extend the entire <br />length of the road that is requested to be improved and will include the necessa~ <br />areas outside the right-of-way for cut and fill slopes and drainage. Also, we <br />agree to dedicate additional right-of-way in the public road intersections for <br />sight distance and design purposes and to execute said right-of-way agreement <br />forms that will be submitted to us by representatives of the Division of Highways. <br /> <br />REMARKS <br /> <br />Four copies of recorded subdivision plat enclosed if applicable <br /> <br />PROPERTY OWNERS <br /> <br />NAME MAILING ADDRESS TELEPHONE <br /> <br />The Division of Highways should contact the first petitioner listed below: <br /> · ' '5 u,,-,r~, q'~o <br /> <br />· Revised For~ SR-1 (5-83) All previous forms obsolete <br /> <br /> <br />