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NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATION <br /> DIVISION OF ltIGHWAYS PETITION <br /> <br />Petition request for (check one) Addition to State System (~) ' <br /> Paving ( ) <br /> Maintenance <br /> <br /> Re Che uDUeFs~gH~d~ being DFoDeFty o~ne~s OD ~. <br /> (Describe -o~ <br />~~ ~6~~n CA~VY~ ..... County do hereby request the <br />Division of liighways 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 />m_~_~ is 0 ,~ 0 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 liighways. 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 Division of Highways should contact the first petitioner listed below: <br /> .¥ · , ,.' ,. <br /> <br /> ..... . ~ ........... , ........... ~_~_ <br /> <br />'~/~vise~ Form SR-1 (5-83) All previous forms obsolete <br /> <br /> <br />