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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 Improvenent ( ) <br /> <br /> We the undersigned, being property owners on. <br /> : (Oesdrlbe Or gt-ve local na~e °'r <br />SeCb~dary Road Nu'mber) in <br />............. County do hereby request the <br />Division of Highways of the Depar~c~nent O'f Transportation to <br />the above-described road. " ~m <br /> <br /> We further advise that the road requested to is miles <br />in length and at the present tine there are "occhpied homes l~cated on <br />the road and having entrances into the road.' <br /> <br /> Fina)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 road that is.requested to be ink, roved and will include the necessary <br />areas outstde 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 agroenent <br />forms that will be submitted to us by representatives of the Division of Highways. <br /> <br />REh~ARKS <br /> <br />Four copies of recorded subdivision plat enclosed if applicable <br /> <br />PROPERTY OWNERS <br /> <br />NAM[i MAILING ADDRESS TELEPHONE <br /> <br />Dtvi~ion of Highways should.~nl~act the first petitioner listed below: <br /> <br />Revised Fom SR-1 (5-83) All previous forms obsolete <br /> <br /> <br />