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NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATION <br /> DIVISION Of HIGHWAYS PETITION <br /> <br /> North Carolina <br /> County of C~ ~ywrS <br /> <br /> Petition request for (check one) Addition to State System (~) <br /> Paving ( ) <br /> ~fntenance Improvement ( ) <br /> <br />~.~o.F.~)~%~e undersigned, being all of the property Owners on <br /> . ~-~.~ ~,~e_~.~u)~ ~¥c ~ (DeScribe or give local <br /> name or Secondary Road Number) in C~b~ County do hereby~request~ the <br /> Division of Highways of the Depart~nt of Transportation to . <br /> the above described road. <br /> ~e further ~dvise that the roadrequested to ~ ~ is~:~' <br /> ~5' miles <br /> in length and at the present time there arel,~ Z, 5 occupied ho~s located on <br /> the road and having entrances into the road."" <br /> <br /> Finally, we agree to dedicate to the Division of Highways a right-of-way <br /> sixty (60} feet in width extending ~e entire length of the ~ad that is ~quested <br /> to be improved along with the necessary areas for cut and fill slopes and dra(nage. <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 ~presentatives of the Division of Highways <br /> in order that the Division of Highways fulfill the require~nts of Chapter 1244. <br /> lg59 Session of the General Asse~l~ of Not. Carolina.- <br /> <br /> REMARKS <br /> <br /> T~o copies of recorded subdivision plat enclosed if applicable <br /> <br /> - PROPERTY OWNERS <br /> NAME ADDRESS <br /> The Oivi~d~hLo~? Hiy~wQj/s ~bul~ Co~taJt the f~.~Y?~elow: <br /> <br /> Revised Form SA-1 (6-78) All previous forms obsolete <br /> <br /> <br />