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NORTH CAROLINA STATE DEPARTMENT OF TP, ANSPORTATION <br /> DIVISION 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 /> ._~We the vn~ersigngd, being all of t~e property owners on <br /> /~C~[-~',.~. ~/'~4~J ~'/ ~6/~_~6--,~f" ~r,~ ... (Describe or give local <br />name or Secondary Road HUmber) in ~~. Cgunty 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 ~.~d_~ is d~,~.-I miles <br />in length and at the present time there are ~z~_ 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 <br />sixty (60) feet in width extending the entire length of the road that is requested <br />to be improved along with the necessary areas for cut and fill slopes and drainage. <br />Also, we agree to dedicate additional right-of-way in the public road intersections <br />for 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 />in order that the Division of H~ghways fulfill the requirements of Chapter 1244, <br />1959 Session of the General Assembly of North Carolina. <br /> <br /> REMARKS <br /> <br />Two copies of recorded subdivision plat enclosed if applicable <br /> <br />PROPERTY OWNERS <br /> <br />NAME ADDRESS <br /> <br />The Division of Highways should contact the first petitioner listed below: <br /> <br />.~_ ..m,, /V. ~. Z. 2'a z J~ <br /> 7oy- 77z - .Y'Y& <br /> <br />Revised Form SR-1 <br /> <br />DEPARI;:~LIIT OF TR;'JI:'WOltfATIOfi <br /> ('~1 .c:, T P,, ! ..m, T E NGIr',~ITF R <br /> f)lvl:',,(TM If') I~-I <br /> <br /> <br />