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NORTH CAROLINA STATE DEPARTMENT OF T~NSPORTATION · ~g/ <br /> DIVISION OF HIG~AYS PETITION DEC <br /> <br /> ~F~AR)MEI~T OF TfiA~$AOR~O <br /> North Carol ina _. ~ DISTRICT ENGiN~R <br /> County of ~/~a.~Y~ ' ~0~ 10/ <br /> <br /> Petition request for (check one) Addition to State ~stem {~ <br /> Paving { ) <br /> Maintenance Improvement ( } <br /> <br /> ~ We the undersigned~ bei.ng ~ll of the proper~ ~ners on ~~ ~. <br />~.~-~ ~ O)~~Y (Describe or give local <br /> name off Secondar~Road Nbmber} in ~j~ ~m County do he,by, r~uest the~ <br /> Division of Highways of the Depart~f~rapsportation~ ~ to [~ ~JY~ <br />the above described road. ~/~e~' ~d~m / <br /> We further advise that the road requested to~ is miles <br />in length and at the present time there are ~ occupied homes located on <br />the road and having entrances into the road, <br /> <br /> Finally, we agree to dedicate to the Division of Nighways a right-of-w~ <br />six~ (60) feet in width extending the entire length of the road that is requested <br />to be improved along with the necessa~ areas for cut and fill slopes and drainage. <br />Also, we agree to dedicate additional right-of-w~ in the public road intersections <br />for sight distance and design purposes and to execute said right-of-way agreement <br />forms that will be submitted to us ~ representatives of the Division <br />in order that the Division of Highways fulfill the requirements of <br />1959 Session of the Ge~ral North Carolina. <br /> <br />Two copies of recorded <br /> <br /> NAME <br /> <br />Th~ <br /> <br />Revised SR-1 (6-78) All previous forms obsolete <br /> <br /> <br />