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North Carolina <br />County of ~.. <br /> <br />NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATION <br /> DIVISION OF HrGHWAYS. PETITION <br /> <br /> Petition request for (check one) Addition to State System ~ FEB 1~t 1995 <br />_ Paving ( ) O£PAkl,N~(~[ OF Ti:,AiiJ?(J~(TATgJI~ <br /> Maintenance Improvement ( ) .I~ISTR;OT Ei~GIN£,F.-~ <br /> · · n v~SlON. )(] *' <br /> We the undersigned, being property owners on 1~)~,~ <br />- , (Describe or give local ~ame or <br /> Secondary Road Number) in '-{_~m )~ ~.~ County do hereby r~q~est the <br /> Division of Highways of the DeITar~ment of Transportation to <br />-- the above-described road. <br /> 0.o~4 <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 construcC 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 />_ The Division of Highways should contact the first petitioner listed below: <br /> <br />Revised Fonn SR-1 (5-83) All previous forms obsolete <br /> <br /> <br />