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NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATION <br /> DIVISION OF HIGHWAYS PETITION <br /> <br />North Carol ina -- <br />County of ~"J <br /> <br />Petition request for (check one) Addition to State System Paving ( ) <br /> Maintenance Improve~nt ( ) <br /> <br /> We the undersigned, being property owners on <br /> (Describe'or give local name or <br />Secondary Road Number)in _C~J~,-~-~K County do hereby, request the <br />Division of Highways of the Department of Transportation to. <br />the above-described road. <br /> <br /> We further advise that the road requested to /~/~J is ~.~j- 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 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 />/The D~v~s~on of ~ighwa~s should contact the f~rst pet~t~o~e~listed b~lQ~: _ .~ <br /> <br />788-4164~ <br /> <br />Mr. Donald Terry Hi11,6340 Breezy Ln. Concord, N.C. 2~025 (704) 788-3~96 <br /> <br />Mr. Roy Keeney, 6248 Breezy Ln. Concord, N.C. 28025 (704) 7d2-9164 <br />Mr. Charles Cruse, 6222 Breezy Ln. Concord, N.C. 28025 (704) 784-4765 <br />Mr. Larry Shaver, 6200 Breezy Ln. Concord, N.C, 28025 (704) 784-8145 <br />Mr. Jeff Rinehardt, 6160 Breezy Ln. Concord, N.C. 28025 (704) 788-3532 <br /> <br />Revised Form SR-1 (5-83) All previous forms obsolete <br /> <br /> <br />