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Y a. J I"j~-L <br /> <br /> DIVISION OF NIGIIWAYS PETITION <br /> ~''. JUN 1~ <br /> North Carolina/,)~/ <br /> '~ DISTRICT <br /> Petition request fo~ (check one) Afld~tion to State System (~ <br /> / <br /> <br /> Paving ( ) <br /> ~intenance I~ve~nt ( ) <br /> <br /> ~e~ ~4~c ~ (~scrib6 orlgive local na'-~ or <br /> Secondary Road NU~er} in (~/d~ County ~ hereby request.the <br /> O~v~s~on of H~ghways of the Oepart~nt of Transportation to <br /> the above-described road. <br /> <br /> We further advise that the ~ad ~quested to ~=~ is · 0 ~ miles <br /> in length and at the present ti~ there are /~ occupied ho~s <br /> the ~ad and having entrances into the road. <br /> <br /> Finally, we agree to dedicate to the D~vision of U~ghways a right-of-way of <br /> the necessary ~dth to construct the ~ad to the minimum construcHon standards <br /> required by the O~vJsion of Htghways. This right-of-way will extend the entire <br /> length of the road that is requested to be inproved and will include the necessary <br /> areas outside the right-of-way for cut and f~ll slopes and drainage. Also, we <br /> agree to dedicate additional r~ght-of-way tn the public ~ad intersections for <br /> sight distance and design purposes and to execute said r~ght-of-way agree~nt <br /> fo~m that will be submitted to us by representatives of the O~v~s~on of H~ghways. <br /> <br /> Four copies of recorded subdivision plat enclosed if applicable <br /> <br /> PROPERTY OWNERS <br /> N~1E. MAILING ADDRESS IELEPHONE <br /> <br />The Division of ~ighways should contact the first petitioner listed below: <br /> <br />Revised Fom SM-1 (5-83) All previous rom obsolete <br /> <br /> <br />