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NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATION <br /> <br /> tlorth Carolina/~ / <br /> County of { ,~.~,~x~ / APR <br /> Petition request for (check one) Addition to State System <br /> <br /> Maintenance Improvement ( ) a-~ ~ai~. <br /> <br /> ~ We the undersigned, being all °~ the property ~ners on /~ <br /> na~ or Secondary Road Num6er) in ~County do her~b] request the <br /> Division of Highways of the Department of Transportation to ~ <br /> the above described road. - ,- <br /> <br /> We 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, 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 /> lg5g Session of the General Assembly of North Carolina. <br /> <br /> REMARKS <br /> <br />  copies of recorded subdivision plat enclosed if applicable <br /> <br /> · ' 6, /. 'FY .~ ' ' <br /> <br /> ~' N~E~zc ~ ~'~'~ *'~~' ADDRESS ' " <br /> <br /> ~ Division of Highways should contact the first petitioner )ist~d below: <br /> <br />F RJv~s~ SR:I ',,~ ~11 pr~[ fo~s obsolete~ ~ <br /> - <br /> -. ....... <br /> <br /> <br />