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.' NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATION <br />· DIV[SEON OF HIGHWAYS PETITION . '~'~ <br /> <br /> North Carolina '" <br /> <br /> Petition request for (check one) Addition to State System (~ <br /> Paving { ) <br /> ~ntena~ce I~rove~nt ( ) <br /> ,, the undersigned, being property owners on B~17~V ~F <br /> (~scribe or ~ive )Dca1 na~ or. <br /> SecOndary Road Nu~er) in ~ ~unty ~ hereby request the <br /> Division of Highways of the ~part~nt of Transportation to <br /> the above-described road. <br /> <br /> We further advise that the mad requested to ~ ~[~ is I~ miles <br /> in length and at the present ti~ there are ~ occupied ho~s located on <br /> the ~ad and having entrances into the ~ad. <br /> <br /> Final]y. we agree to dedicate to the Division of Hi,ways a right-of-way of <br /> the necessary width to construct the ~ad to the minimum construction standards <br /> requtre~ by the O~vision ef Highways. This r~ght-of-way will extend ~e entire <br /> length of the road that is requested to be i~roved and will include the necessary <br /> areas outside the right-gf-way for cut and fi]l 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 agree~nt <br /> fo~ that will be submitted to us by representatives of the Division of Hig~ays. <br /> <br /> RE'RI5 <br /> <br /> [our copies of recorded subdivision plat enclosed if applicable <br /> <br /> N~E ~ILING ADDRESS TELEPHONE <br /> <br /> lhe Division of Highways should contact the first petitioner listed b~lDw: <br /> <br />Revised Fo~ (5-83) All previous fo~ obsolete <br /> <br /> <br />