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.~ NORTH CAROLINA ~TATq~ru~aI~NSPORTAT[ON~--¢~'2 <br /> ' DIVISIO~ ~HIGHWAYS PET~N <br /> ~ JUN 6 1~.'~9 ~ <br /> CountyN°rth Carol ina~ _/ .~c~ J I~.~.~R~I~£N~'.O~ of c.~z~,~m~ <br /> ....~'~ <br /> Petition request for (check one)--.,gddit'i'on to State..~'t~m Paving ~ <br /> Maintenance Improvement ( <br /> <br />QO. We the undersigr~ed, being all of the property owners <br /> . ~/'~)~.,c~_ '~'C'~'~ (Descrioe or give ioca! <br /> name or Secondary Road Number) in ~ County do h~.~eby request the <br /> Division of Nighways of the Departmen~'of Trans'portation to <br /> the above described road. <br /> <br /> We further advise that the road requested to ct_, . is <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 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 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 petitioneK listed below: <br /> <br /> Revised Form SR-1 (6-78) All previous forms obsolete <br /> <br /> <br />