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NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATION~ <br /> DIVISION OF HIGHWAYS PETITION JUl. ~? <br /> <br />County of ~us DIST~cT ENGINEER <br /> <br />Petition request for (check one) Addition to State System Paving ( ) <br /> ~intenance Improve~nt ( ) <br /> <br /> We the undersigned, being property owners on .~ ~ <br /> -(Describe o~ give local na~ <br />Secondary Road Nu~er) in ~us County do hereby request the <br />Division of Highw~s of the Department of Transportation to <br />the above-described road. <br /> <br /> We furthe~ advise that the ~ad requested to ~D is ~ miles <br />in length and at the present ti~ there are 4' occupied homes located on <br />the mad and having entrances i~to the mad. *PLUS 2 <br /> <br /> Finally, we agree to dedicate to the Division of Highways a right-of-way of <br />the necessary'width toconstruct the mad to the minimum constPuctfon standards <br />required by the Division of Highways. This ~ight-of-way will extend the entim <br />length of the ~oad that is ~equested to be i~mved and will include the necessary <br />areas outside the right-of-way for cut and fill slopes and dPainage. Also, we <br />~gree to dedicate ~dditional ~ight-of-way in the public ~ad intersections for <br />sight distance and design purposes and to execute said right-of-way agree~nt <br />fo~ that will be submitted ~ us by representatives of the Division of Highways. <br /> <br /> RE~RKS <br /> <br />Four copies of recorded subdivision plat enclosed if applicable <br /> <br /> PROPERTY OWNERS <br /> NAME MAILING ADDRESS TELEPHONE <br /> <br />The Division of Highways should contact the first petitioner listed below: <br /> <br /> HENDRICKREAL ESTATE INVESTORS (704) 455-3400 <br /> P. O. BOX 457 <br /> HARRISBURG, NC 28075 <br /> <br />Revised Form SR-1 (5-83) All previous forms obsolete <br /> <br /> <br />