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North Carolina <br />County of ~_~j~ .~4q~j <br /> <br />Petition request for (check one) <br /> <br />NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATION <br /> DIVISION OF HIGHWAYS PETITION <br /> <br /> Addition to State System <br /> Paving ( ) <br /> Maintenance Improve~nt <br /> <br />owners on ~/F~:.~,~X_~ ~o,,o ~ ~ <br /> <br /> We the unders.ig.n, ed. being property .mc ..... r,-r~ . <br /><"..~/4 ,~ ~/~m/p~'~,~ /~,. ~ (Describe' or give local hame or <br />3econdary Road Number) in / ~..~ County do hereby request the <br />Division of Highways of the Department of Transportation to ~//(<-~ x~ ~-~ _~7-~,~ ~-/_ <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 /> ~.~,~ ~ is miles <br />occupied 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 necessary <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 §aid 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 /> <br /> '.,. . <br /> <br />Revised Form SR-1 (5-83) All previous forms obsolete <br /> <br /> <br />