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NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATIO~ <br /> DIVISION OF HIGHWAYS PETITION <br /> <br />North Carol ina <br />County of ~cX ~)q ¥~ U~ <br /> <br />Petition request for (check one) <br /> <br />Addition to State System (~.~ · <br />Paving ( ) <br />Maintenance Improvement ( ) <br /> <br />DISTRICT ENGINE£E <br />DIVISION 10 <br /> <br /> We the undersigned, being property owners on C~r~,. ~ [~uv) <br /> '(Describe-or give local name or <br />Secondary Road Number) in C_~ ~m~-rv~ 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 <br />in length and at the present time there are ~ <br />· the road and having entrances into the road. <br /> <br />~ ~ is . ~0 miles <br />occupied homes located on <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 subdivi.sion plat enclosed if applicable <br /> <br />PROPERTY OWNERS <br /> <br />NAME MAILING ADDRESS TELEPHONE <br /> <br />The Division of Highways should contact the first petitioner listed below: <br /> <br />· '0 0 0 <br /> <br /> {,,.,,. ..... ..,.,t.., " " <br /> <br />Revised Form SR-1(5-83) All previous forms obsolete <br /> <br /> <br />