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NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATION <br /> DIVISION OF HIGHWAYS PETITION <br /> <br /> NOrth Carolina <br /> CountY of C~ ~ tv ye <br /> Petition request for (check one) Addition to State System Paving ( ) <br /> Maintenance Improvement ( ) <br /> <br /> We the undersigned, being all of th~ property owners onl't~a~J <br />z'~leY~__Cl~l~ 3,~_~e~,_BJ~_._~c ~ ~ /)/~kC._. (DesCribe o~I give local <br /> name or Secondary Road Number) in ~C~}~__~ County do hereby,request the <br /> Division of Highways of the Department of Transportation to <br /> the above described road. <br /> We fOrther advise that the road requested to .. ~J~ 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 agre'e to dedicate to the DiVision of Highways a right-of-way <br /> sixty (60) feet in width ~Xtending the entire length of the road that is ~equested <br /> to 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 /> 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 /> 1959 Session of the General Assembly of North Carolina. <br /> <br /> REMARKS <br /> <br /> Two copies of recorded subdivision plat enclosed if applicable <br /> <br /> PROPERTY OWNERS <br /> NAME ADDRESS <br /> <br /> The Division of Highways should contact the first petitio~er listed below: <br /> <br /> Revised Form SR-1 (6-78) All previous forms obsolete <br /> <br /> <br />