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NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATION <br /> DIVISION OF HIGHWAYS PETITION <br /> <br />North Carolina . <br />County of L'~,f, L~,~'- ~ zr ~ <br /> <br />Petition request for (check one) <br /> <br />Addition to State System ( ) <br />Paving (v)' <br />Maintenance Improvement ( ) <br /> <br /> .: SEP e9 1992 <br /> <br /> [I[P. ARTM~.NT OF 'I~AI';.~POR,'ATION <br /> · - DISTRICT ENGINE£R <br />!,. ' DIVISION lO <br /> <br /> We the undersigned, being property owners on i)'l~.n--z._,,~,,~v/,.-~,J <br /> ~- >~/'?~'~?~-~7' /./~.~,~('~'o~.~,,~.',_q~.,_!-/%,~,~, ~.~.~ (D~sc~ibe or give local name or <br />Secondary Road Number)in--FC,h,~,~.~.¢<~ 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 ~t'~,o~,~o is / mileJ <br />in length and at the present time there are // '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 />PROPERTY OWNERS <br /> <br />NAME MAILING ADDRESS TELEPHONE <br /> <br />The Division of Highways should contact the first petitioner listed below: <br /> <br /> "1 =' ' ' <br /> <br />Revised Form SR-1 (5-83) All previous forms obsolete <br /> <br /> tr.. <br /> <br /> <br />