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NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATION <br /> DIVISION OF HIGHWAYS PETITION <br /> <br />North Carol ina <br /> <br />Petition request for (check one) <br /> <br /> Addition to State System <br /> Paving ( ) <br /> Maintenance Improvement ( ) <br /> <br /> undersigned,_~, being property owners on <br /> We <br /> the <br /> [.l~.~ ,,~,-~ ~uescrib~-~)r give local name or <br />Secon~l~y'~Rd~d-Numbei~) in ~-~a'YM~q County do hereb.~'r~quest 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 <br />in length and at the present time there are ~ <br />the road and having entrances into the road. <br /> <br />~prk~ is ~, %b 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 recorded subdivision plat enclosed if applicable <br /> <br /> PROPERTY OWNERS <br /> NAME MAILING ADDRESS TELEPHONE <br /> <br />DKg~ivision of Highways should contact the first petitioner listed below: <br /> <br />Revised Form SR-1 (5-83) All previous forms obsolete <br /> <br /> <br />