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NO~TH C^~OLIN^' ST^T£ DEP^~M£NT OF T~ANSPO~T^TIONj <br /> DIVISION OF HIGHWAYS, PETITION <br /> <br />No)~th Carolina _. <br />County of ___._.~t~_~y.~.~ .... <br /> <br />Petition request for (check one) Addition to State System Paving ( ) <br /> Maintenance Improvement ( ) <br /> <br /> We the undersigned, being property owners on ~t/~rv~P~, ~, Am~'~,L <br />' -(Delscrlbe'ol~ give q'Ocal name-6'~ <br />~eEondary RO~ Number) in _--:--~d ~,~,~z~.~ County do hereby request,l~he <br />Division of Highways of the Depa~tnient o~ Tf~portation, to ~,~/~ _ ~ .<~ <br />the above-described road, '- <br /> <br /> We further advise that the road requested ~o , d~ ~. is , . .~k" miles <br />in length and at the present time there are ._ ~ ]Occupied homes loc~ed on <br />the road and ha~ing 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 wilt 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 /> <br />Revis' Form SR-1 (5-83) All previous forms obsolete <br /> <br /> <br />