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North Carolina <br />County of ~L~ <br /> <br />NORTH CAROLI~IA STATE DEPARTME~IT OF <br /> DIVISION OF HIGHWAYS PETITION <br /> <br />Petition request for (check one) Addition to State System (~) <br /> Paving ( ) <br /> Maintenance Improvement ( ) <br /> <br /> We the undersigned, being property owners on ~. ~ <br /> ~. ~. ~ vq~ -lbe~cribe or give local name or <br />Secondary Ro~d NUi~er} in . C.~,~ County do hereby request the <br />Division of Highways o~ the D6~a~tment of Tran'sp~r'tation to <br />the above-described road. <br /> <br /> We further advise that the road requested to ~ is ~' miles <br />in length and at the present time there are ~. occupied homes located on <br />the road and having entrances into the road. <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 St~l~dards <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 ar, d to execute said right-of-way agreement <br />forms that will be submitted to us by representatives of the Division of Highways. <br /> <br />P, EMARKS <br /> <br />Four copies of recorded subdivision plat enclosed if applicable <br /> <br /> PROPERTY OWNERS <br /> NAME MAILING ADDRESS TELEPHONE <br /> <br />The Division of Highways should contact the first petitioner listed below: <br /> <br />Revised Form SR-1 (5-83) All previous forms obsolete <br /> <br /> <br />