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NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATION <br /> DI¥~SION OF H~GH~IA¥S PETITION <br /> <br /> North Carolina . <br /> County of ~ 6~ .. <br /> <br /> Petition request for (check one) Addition to State System (~'~ <br /> Paving ( ) <br /> Maintenance Improvement (--'~ <br /> <br /> W~ the undersigned, being all of the property owners on <br /> __~72},~/~ ~.~, (Descri6e or give loE~T- <br /> name or Secdndary Road flumber) in OA~a~m~ County do hereby request the <br /> Division of ttighways of ~he Departn~nt o~t~tioo to <br /> the above described road. <br /> We further advise that the road requested to ~-T~d is <br /> in length and at the present time there are 6 - occupied homes ~'~'~ted on <br /> the road and having entrances into the road, <br /> <br />Finally, ~e agree to dedicate to the Oivision of Highways a right-of-way <br />,sixty (60) feet in width extending the entire length of Che 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 ~ight 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 124~, <br /> 1959 Session of the General Assembly of North Carolina. <br /> <br /> RENARKS <br /> <br /> Two copies of recorded subdivision plat enclosed if applicable <br /> <br /> PROPERTY OWNERS <br /> NAME ADDRESS <br /> The~vision p~.A~g~5. ~s~ould con.~act the ~rst petiti~nep/lis~d below': <br /> <br /> ::..,4 : ' <br /> <br /> / <br /> <br /> ................................... <br />:: :: ............... :[ ........................... <br /> <br /> <br />