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/e., <br />NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATION <br /> DIVISION OF HIGHWAYS PETITION <br /> <br />North Carolina <br />County of C~m~% <br /> <br />Petition request for (check one) <br /> <br /> Addition to State System <br /> Paving ( I " <br /> Maintenance Improvement ( ) , ,.i~RII~INI OF TRANSPORIATI~ <br /> ': ~xDISTRICT ENGINEER <br /> We the undersigned, being property owners on ~~ )~,~, <br /> ~,~%~ ~ · (Describe or'~l~'loCal name-or <br />SecOndary Road Nu~er) in ~vv,~ 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 />T~ ~ is II]BD'+- 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 agreen~nt <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 TELEPHONE <br /> <br />The Division of Highways should contact the first petitioner listed below: <br /> <br />Revised Form SR-1 (5-83) All previous, forms obsolete <br /> <br /> <br />