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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) <br /> <br />Addition to State System <br />Paving ( ) <br />Maintenance Improvement <br /> <br /> We the undersigned, being property owners on ~--~(_/~ ~y~, , <br /> ~,. f,'~a( (4)~cribze' 6~'gf~' To~ name or <br />Secondary' Rb~ Number) in ~~k County (Io herebyce the <br />Division of Highways of the Department ~f Transportation to ~ lkquest <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 ~, 1./~ 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 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 ~ecorded 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 />Revised Form SR-1 <br /> <br />(5-83) All previous forms obsolete <br /> <br /> <br />