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NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATION <br /> DIVISION OF HIGHWAYS PETITION <br /> <br /> tlorth Carolina <br /> County of ~<'.~A r <br /> <br /> Petition request for (check one) Addition to State System <br /> Paving ( ) <br /> Maintenance Imprgvement ( <br /> <br /> (~,~e the undersigned, being all of the property owners on <br /> / ~,'r~ ~ ~ (Describe or give local <br /> name oF Secondary Road tlumber) in t'~'~ ~,4~ r,~ ~ County do hereby request the _ <br /> Division of Highways of the Department of TranspOrtation to <br /> the above described road. <br /> <br /> ~e further advise that the road requested to is miles <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, ~e 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 /> RE~RKS <br /> <br /> Two copies of recorded subdivision plat enclosed if applicable - <br /> <br /> PROPERTY OWNERS <br /> NAJtE ADDRESS <br /> <br /> The Division of Highways should contact the first petitioner listed below: <br /> <br />..~-!: ,.. ~.~ ~/:;:,~._<~-' ~._-, /~..,- ~'? t~-~;;... ~ ~ t ..... '*--~ /,I., - ~'~ <br /> <br /> Revised Form S~-] (6-78} All previous fo~s.obsolete <br /> <br /> <br />