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NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATION <br /> DIVISION OF HIGHWAYS PETITION <br /> <br />North Carolina <br />County of ~"'p~r~r <br /> <br />Petition request for (check one) <br /> <br /> NOV 80 <br /> <br /> I)EPART~E~IT OF TRA~'~,~PORTATIO/~' <br /> DISTRICT ENGINF_.E~,. <br />Addition to State System (~)~. DIVL%ION <br />Paving ( ) <br />Maintenance Improvement ( ) <br /> <br /> We the undersigned, being all of the property owners on .~-~ ~ ~ <br /> ~ -/~,~ ~.,~/ (Describe or give local <br />name or Secondary Ro~d Number) in .C~ ~m~ County do hereby request the <br />Division of Highways of the Department of Transportation to ,-~1'~ <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 />~qrJ~ is miles <br /> occupied homes located on <br /> <br /> Finally, we agree to dedicate to the Division of Highways a right-of-way <br />sixty (60) feet in width extending the entire length of the road that is requested <br />to be improved along with the necessary areas for cut and fill slopes and drainage. <br />Also, we agree to dedicate additional right-of-way in the public road i~tersections <br />for 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 />in order that the Division of Highways fulfill the requirements of Chapter ]244, <br />1959 Session of the General Assembly of North Carolina. <br /> <br /> REMARKS <br /> <br />Two copies of recorded subdivision plat enclosed if applicable <br /> <br />PROPERTY OWNERS <br /> <br />NAME ADDRESS <br /> <br />The Division of Highways should contact the first petitioner listed below: <br /> <br />Revised Form SR-1 I6-78) All previous forms obsolete <br /> <br /> <br />