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NORTH CAROLINA STAVE DEPARTHENT OF TRANSPOR.~ATION <br /> I, LS'Z- <br /> <br /> North Carolina '~'' ~4~ ' <br /> County of ~ ~[[~j '" <br /> Peti~i°n request for (check one) Addition to State System ( ~E~A~)),~Z (~F 'r'~;''''s'~A~m~ <br /> Paving ( ) DislR~c! E, IKiII4EER <br /> Haintenance Improvement ( ) . <br /> <br /> ~e'the undersigned, bein~ all of the property ~ners on <br /> ~,~/~ ~6. (~scribe or give local <br /> na~ or Secondary Road N~ber) 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 hbmes loc&ted on <br /> having entrances into the road. <br /> the <br /> road <br /> and <br /> <br /> Finally, we agree to dedicate to the Division of Highways a right-of-way <br /> sixty (60) 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 /> for~ 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 /> 1959 Session of the General-Asse~ly of North Carolina. <br /> <br /> REF~RKS <br /> <br /> T~o copies of recorded subdivision plat enclosed if applicable <br /> <br />m PROPERTY OWNERS <br /> ~ ~/) ~ J; ~ N~,.~c~/~ _~,~. ADDRESS <br /> <br />m The Division of Highways should contact the first petitioner li~t~ below: <br /> . ....... ... <br /> <br /> <br />