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/o,~ <br /> NORTH CAROLINA STATE DEPARTHENT OF TRANSPORTATION <br /> DIVISION OF HIGHWAYS PETITION <br /> <br />North Carolina <br />County of <br /> <br />Petition request for (check one) Addition to State System <br /> Paving ( ) <br /> Maintenance Improvement ( ) <br /> <br /> We the undersigned, being all of the property mvners on <br /> ' ' (Describe or give local <br />name or. Secondary Road Number) in ~:~ .... · 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 /~ ~ 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 />~,~ Fi~lly, we agree to d~dicate to the Division Of Highways a right-of-way <br />(3.r.F~y (4PO) 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 Highways fulfill the requirements of Chapter 1244, <br />lgS9 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 /> NAME ADDRESS <br /> <br />The Division of Highways should contact the first petitioner listed below: <br /> <br />Revised Form SR-1 (6-78) All previous forms obsolete <br /> <br /> <br />