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I <br /> NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATION <br /> m, DiViSiON OF HIGHWAYS PETITION <br /> <br /> m ~lorth Carolina <br /> County of <br /> <br /> Addition Stat~ (c~ <br /> m Petition request for (check one) to System <br /> Paving ( ) / <br /> ~ainten~rovemsnt ( <br /> I , We the undersigned, being all of th~e~property owners on <br /> ~ ~Yl .~. ~[.~ (Deg'6ri~e or ~fve local <br /> m ~ ~r~S~c~nda~ Road Number) in--County do ~ere~y Eeqpest. the_ <br /> Division of Highways of the Department of TransFortation to~ <br /> the above described road, ' <br /> m We further advise that the road requested to ~ is ~miles <br /> in length and at the present time there are ]~ occupied ~mes located on <br /> the road and having entrances into the road. <br /> m 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 /> Ito 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 /> m 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 /> 195g Session of the General Assembly of North Carolina. <br /> I RE~,ARKS <br /> FouP... <br /> I T~n~copies of recorded subdivision plat enclosed if applicable <br /> I <br /> PROPERTY OWNERS <br /> m NAIVE A~BRESS <br /> ~ OivisLmn qf~ Highways should coqtact .the first petitionrr listed bolo.: <br /> <br /> rue <br /> <br /> I <br /> m R <br /> evised form SR-1 (6-7B) All previous forms obsolete <br /> <br />m <br /> <br /> <br />