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NORTH CAROLINA STAT£ DEPARTMENT OF TRANSPORTATIOJt, . , <br /> DIVISION OF HTGHWAYS PETITION it[PARt'I~.t,! Of I~ARSPORTA~i~J~ <br /> '~. ~STRI~T ~-N~INEJ~R <br /> North Carolina_ , · DIVISION <br /> County of <br /> <br /> Petition request for (check one) Addition to state System ~) <br /> Pav~ng ( ) <br /> ~intenance I~rove~nt ( ) <br /> We the underMgned, being property owners on ~km.~ <br /> ~be or give local <br /> ~econdary Ro~ Nu~er) in ~r~S Count~ do hereby request the <br /> Division of Highways of the Depart~nt of Transportation to <br /> the above-described road. <br /> We further advise that the ~ad requested to ~,~ is ~ miles <br /> tn length and at the present ti~ there are .~ ~~s l~n <br /> the mad and having entrances into the mad. <br /> <br /> Finally, we agree to dedicate to the Division of Highways a right-of-Way of <br /> the necessary width to construct the ~ad to the minimum construction standards <br /> required by the Division of Highways. This right;of-way will extend the entim <br /> )ength of the road that is requested to be i~ved .and will include the necessary <br /> a~as outside the right-of-way for cut and fill slopes and drainage. Also, we <br /> agme to dedicate additional right-of-way in the public mad 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~RKS <br /> <br /> Four copies of recorded subdivision plat enclosed if applicable <br /> <br /> PROPERTY O~INERS <br /> NAME MAILING ADDRESS TELEPHONE <br /> <br />The Division of Highways should contact the first petitioner listed below: <br /> <br />~..vised Form ?P-1 (,:-,. All ;,'. <br /> <br /> <br />