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NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATION <br /> DIVISrON OF HIGHWAYS. PETITION <br /> <br />North Carolina <br />County of ~'~ W~.~.s <br /> <br />Petition request for (check one) <br /> <br />Addition to State System <br />Paving { ) <br />Maintenance Improvement <br /> <br /> We the undersigned, being property owners on ~0\~ <br /> I ' ' '(Describe or gi~e local name or <br /> Secondary Road Number) in C ~^~. County do hereby request 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 ~,/ miles <br />in length and at the present time there are _ .~L 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 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 /> NAME MAILING ADDRESS TELEPHONE <br /> <br />The Division' of Highways should contact the first petitioner listed below: <br /> <br />Revised Form SR-1 (5-83) All prev~s forms obsolete <br /> <br /> <br />