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Petltln,, re,luesL for (check one) Ad,IlLin,, I.n StaLe 5ysLe,,l (I./ <br /> I'nvlng ( ) tllv~.~¢tJa <br /> HafnLena,ce Imi~roVement ( ) .......... <br /> <br /> 1de the imdersl§ned, heln~all !)f I, he I}rol~erLy m~ners <br /> <br /> naif-ar ~6condary ~oad Ihm~her~hl ~R~ County dq Ilerehy rqql~est ~he <br /> I}lvlsfon n[ IIl~h~.~ays or the ~epa)'t~;~t or lransportatlon [o _~_~.~ <br /> the above descrlhed road. <br /> <br /> Irt length ami aL the I,'ese~ [ Lime Lhere are ' occ~pled home~-~nc~Led on <br /> Lhe road ~nd hnvh~g m~Lt-~l~Ces II,Lo the roRd. <br /> <br /> Finally. ~ee a~ree I.o dedlcnLe LQ Lhe Dlvlslnn <br /> sixty (60) fee~ 1, ~fdth extendfng the enCft'n lnugLh o~ Lhe road thaL is requested <br /> [o he fml,'ove(l'nlong ~lLh the area~ For cz~ end fill slopes ami drahzage. <br /> Also, tee a~ree Lo de(ltcaLe addlLlonnl rJghL-or-~a~ h) the pul)llc road IntersecLlm~s <br /> for 5l~lhL (llslm~ce and d~slgn pm-I)oses 01)ti Lo execute said right-of-way <br /> Forms that ~111 I)e stJl)mitted Lo us hy represenLatives or the [llvJsion or 1119h~vays <br /> In o~der that Lhe I)lvIslm~ or Uf~lh~vays rul[lll Lhe requirements or Chapter IZ44, <br /> 1959 S~SS Im~ or the fim~era) ASsembly or tiro'Lb Carol h~a. <br /> <br /> PIIDPCII1Y <br /> <br />jibe Olvlslon or IIIglm, a~s ~hould contact [11~ th'iL ~etltloner listed belmt: <br /> <br /> ~rm'm SIl-I (6-7g) All previous forms ohsolete <br /> <br /> I <br /> <br /> <br />