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.~ORTH CAROLINA STATE DEPARTHEN¥ OF TRA <br /> DIVISION OF H]GHWAYS PETITION . ~ ~ "~. <br /> <br /> County of ~er~ ' <br /> ' ' <br /> Pe~t~ion request for (check one) Addition to State System (~) <br /> Paving ( <br /> Maintenance Improvemnt ( ) <br /> <br /> ' ~e the undersigned, being all of the property ~ners on~z~ ~. <br /> ~ ~es. ~[~ ~ ~. 5~ 1&IS (Describe or g{Ve local <br /> na~ or Secondary' Road Number) in ~6~S County ~o.hereby request the <br /> Oivision of Highways of the Department of Transportation to <br /> the above described road. <br /> <br /> We further advise that the road requested to is ~ mil;:- <br /> in l~ngth and at the present time there are ~ occupied homes located on <br /> the road and having entrances into the road. <br />~ 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 /> 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 DJ'vision of Highways <br /> in order that the Division of Highways fulfill the requirements of Chapter 12q4, <br /> 1959 Session of the General Assembly of North Carolina. <br /> <br /> REI.~RKS <br /> <br /> T~vo copies of recorded subdivision plat enclosed if applicable <br /> <br /> "~ F/I~.. b~,<t ?SL~-i~ 4ol .' i~,~ ~7 <br /> <br /> PROPERTY OWNERS <br /> ADDRESS <br /> <br /> lhe Division of Eighways should contact the first petitioner listed below: <br /> <br /> Revised Form SR-1 (6-78) All previous forms obsolete <br /> <br /> <br />