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NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATION <br /> DIVISION OF HIGHWAYS PETITION <br /> <br />North C a ro 1 i ~2/G~ <br />County of ~ <br /> <br />Petition request for (check one) <br /> <br />NOV J 9 1992 <br /> <br /> DEPAR~MtNT OF ]RANSPORTATIO~ <br /> Addition to State System (~P/' DISTRICT ENGINEER <br /> DIVISION iQ <br /> Paving ( ) <br /> Maintenance Improvement ( ) <br /> <br /> W~ the undersigned, being prgper.ty owners o.n JSL~P~,~C;/7~ ~ o~- <br />~ ~)~-~¢¢- ~)9~ ¢~x_ ~.~/~ ~ ~ G~- (Describe or g!ve local .n.a~e or <br />SecOndary Road Number) in ~)~~ County do hereby, reques~ ~ e <br />Division of Highways of the Department of Transportation to <br />the above-described road. <br /> We further advise that the road requested to /G¢7/~/ is . ~ ! miles <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 /> 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 />