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NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATION <br /> DIVISION OF HIGHWAYS PETITION <br /> <br />North Carolina <br />County of G~ o~¥vs <br /> <br />Petition request for (check one) <br /> <br />Addition to State System <br />Paving ( ) <br />Maintenance Improvement <br /> <br />We tile undersigned, being property owners on 'r,~.~.~r, ~ Pv,~ <br /> <br /> (Describe or give local name or <br />SecondarY Road Number) in Cm~,~y,~) 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 ~,~?' 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 subdivision plat enclosed if applicable <br /> <br /> PROPERTY OWNERS <br /> NAME MAILING ADDRESS TELEPHONE <br /> <br />The Divisio~ of Highways should contact the first petitioner listed below: ~ <br /> <br /> ,,.':.,-:1 :,,,',...i,..)., -' "' <br /> ~ -~ / <br /> <br />Revised Form SR-1 (5-83) All previous forms obsolete <br /> <br /> <br />