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NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATION <br /> DIVISITON OF HIGHWAYS PETITION <br /> <br />North Carolina <br />County of <br /> <br />Petition request for {check one) <br /> <br />Addition to State System <br />Paving ( ) <br />Maintenance Improvement <br /> <br />DFPAki;,...iii OF TRAN$?ORTATION · DISTRICT ENGINEER <br /> <br /> We the undersigned, being property owners on ~[~s /~l~nor <br /> (DeSCribe or glove local name or. <br />Secondary Road Number)"in ~ C~ru~ .. County do herebv.cequest the <br />Division of Highways of the Department of Transportation to <br />the above-described road. <br /> We further advise that the road requested to Cu~j is ,/~ 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 r.ight-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 /> bel o~.~ <br />The Division' or t~ighways' should contact the first petitioner listed . <br /> <br />PO tSo-z <br /> <br />Revised Form SR-1 {5-83) All previous forms obsolete <br /> <br /> <br />