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North Carolina <br />County of <br /> <br />NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATION <br /> D[VIStON OF HIGHWAYS PETITION <br /> <br />-- Petition request for (check one) <br /> <br />Addition to State System (v~ <br /> <br /> OCT ' <br /> <br /> ~£PA~ ~ I,;~t~ I' UF 'fRANSPORTATIO~ <br />Paving ( ) DISTRICT ENGINE£R <br />Maintenance Improve~nt { ) ~...-." · ow~slo~ <br /> <br /> We the undersigned, being property owners on Ov'oj'c~-~s~ /~'v~, <br /> (Describe or gi~,e local name or <br /> S'eco~dary Road Number) in .- Co-~curr~ County do herebv,~equest 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 ~ is ,J.S' miles <br /> in length and at the present time there are __. j~ 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 /> <br /> · NAME -- , MAILING ADDRESS TELEP,,~TNaEx <br />The Division of Highways should contact the first petitioner listed below{~-l~ ?~-/-t~ <br /> <br />po <br /> <br />--Revised Form SR-1 (5-83) All previous forms obsolete <br /> <br /> <br />