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NORTH CAROLINA STATE DEPA. AEN~ OF TRANSPORTATION - DIVISION OF HIG;~AYS PETIT[ON <br /> <br />NOrth Carolina <br />County of .... l_)'~.-,..., <br />Petition request for (check one) <br /> <br />Addition to State System <br />Paving' ( ) <br />Maintenance Improvement ( )'. <br /> <br /> L <br /> <br />~econaary Road Nu~er) In ' ~'~.* :-: .County do hereby ~quest the <br />Division of Highways of th~""oep~r~ment o'f Tran'~portatlon to ~ , <br />the ~bove-descrtbe~ ro:d. ' <br /> <br /> ~ further ~dvlse that the ~d requested <br />tn ~ength an~ et the present ti~ there ~re <br />the ~d ~nd having entrance~ into the ~d.' <br /> <br /> t s mi 1 es <br />occ'upied ho,ms l~n <br /> <br /> Final~ly, 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 read that is requested to be improved and will include the necessary <br />areas outside the right-of-way for cu~ and fill slopes and drainage. Also, we <br />agree to dedicate additional right-of-way in thc public road intersections for <br />~tght distance and design purposes am! to execute said right-of-way egreement <br />forms that will be submitted to us by representat',.ves of 'the Division of Highways. <br /> <br />REMARKS <br /> <br />Four copies of recorded subdi;tsion plat"enclosed if applicable <br /> <br />PROPERTY OWNERS <br /> <br />NAJ~.IE ~i~I L I NG ADDRESS TELEPHONE <br /> <br />The Otv'lsion of Highways should contact the first petitioner listed below: <br /> <br />Revised Form SR-i (5-B3) All previous forms obsolete <br /> <br /> <br />