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t <br /> <br /> NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATION1 <br /> DIVISION OF HIGHWAYS PETITION <br /> ' JUN <br /> <br />tlorth Carolina n£PMT~IFJ(T OF <br />County of C~u~ ~ ~ ~TRI~ <br /> <br />Petition request for (check one) Addition to State System t~) <br /> Paving ( ) <br /> Maintenance Improvement ( ) <br /> <br /> We the undersigned, being all of the property o~ners on ~. ~ Zz/9~ <br /> ~ ~ ~.. (Describe or give local <br />name or Secondary Road Number) in ~,~ County do hereby~e the <br />Division of Highways of the Department of Transportation to ~ j ~.quest <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 />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 />T~b?..Division of Highways should contact the first petitioner listed below: <br /> <br /> :~\,.~.'-.:,:: ,: / ;~ ~. ,..,. ........ : ~ <br /> ::',,~,~.,:,. ,? / ,~.---,/ .... ..,. <br /> <br />Revised Form SR-1 (6-78) All previous forms obsolete <br /> <br /> _ q <br /> <br /> <br />