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NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATION <br /> DIVISION OF HIGHWAYS PETITION <br /> <br />North Carulina~ <br />County of ~t~)~tv~F~ ~' <br />Petition request for (check one) <br /> <br />Addition to State System <br />Paving ( ) <br />Maintenance Improvement <br /> <br /> NOV 5 1993 <br /> <br />df[~4tNl OF ~RANSF()RTAT~OH <br /> DISTRICT ENGINEER <br /> DIVIglON lO <br /> <br /> the <br /> undersigned, being property owners on L-~- >l -t <br /> (Describe' or gfve local name or <br /> ~condary Road Number} in ~_~ ~.~.~ County do hereby request 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 ~c~J is .''~"~9 miles <br />-- in length and at the present time there are /~9'- 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 />- ~.7/~J~= PROPERTY OWNERS <br /> N ME MA L .G 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 /> :T -/ <br /> <br /> <br />