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NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATION <br /> DIVISION OF H~GHWAYS PETITION <br /> <br />North Carolina <br />County of g~3A ~ ~/~ <br /> <br />Petition request for (check one) Addition to State System (~) <br /> Paving ( ) <br /> Maintenance In~rovement ( ) <br /> We the undprstgned, b~jng property owners on ~OY'~,/&"~t,/' <br /> ,4~z::' AI.Z)V/o~ i'"LA~.~ (Describe or give local name or <br />Secondary Road Nuneer) in ~'~,4~,4zszsu'~ County do hereby request the <br />Division of Highways of the Department of Transportation to APo <br />the above-described road. .. <br /> <br /> We further advise that the road requested to ADD is 0.5 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 wtllinclude 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 /> NAME <br /> <br />The Division of HighWays should contact the first petitioner listed below: <br /> <br />PROPERTY OWNERS <br />MAILING ADDRESS TELEPHONE <br /> <br /> 7o4/ z , w5 <br /> <br />Revised Form SR-1 (5-83) All previous forms obsolete <br /> <br /> <br />