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NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATION <br /> DIVISION OF HIGHWAYS PETITION <br /> <br />North Carolina <br />County of <br /> <br />Petition request for {check one) Addition to State System (x~) ~" MAR <br /> Paving ( ) ~. <br /> ' Maintenance Improvement (). ~TM~NTOFTRAN~PORTJ~I~ <br /> <br /> We the undersigned, being property owners on <br /> (Describe ~gl~e Ioca~ name or.~.. <br />'Secondary Ro~d Number) in C,I'~~ County do hereby rp~uest the <br />Division of Highways of the Department of Transportation to ~ ~ <br />the above-described road. <br /> <br /> We further advise that the road-requested to ~>.~ is/~2)~ miles <br />in length and at the present time there are .... '--occupied homes located on <br />the road and having entrances into the road. <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 desig~ 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 /> NAME ,. MAILING ADDRESS TELEPHONE <br /> <br />The Division of Highways should contact the first petitioner listed below: <br /> <br />Revised Fom SR-1 (5-83) All previous forms obsolete <br /> <br /> <br />