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m <br /> <br /> NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATION <br /> DIVISION OF HIGHWAYS PETITION <br /> <br />Petition request for (check one) Addition to State System <br /> Paving ( ) <br /> Maintenance Improvement ( ) <br /> <br /> We the undersigned, being all of the property owners on <br /> ~; ~ ~ ~ (Des~6ibe o~ g~rve local <br />na~ o~ Secondary Road Number) in ~, ~j ~k~. ~ County dQ hqreby requ~t the <br />Division of Highways of the Department of Transportation to,~r/y.r,~ <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 /> RE)~RKS <br /> <br />:l:wo-copies of recorded subdivision plat enclosed if applicable <br /> <br /> PROPERTY OWNERS <br /> ADDRESS <br /> <br /> the first petitioner liste~ below: y <br />Th~9~J)ivisi°n~High-~ys-~h°uld c°ntact_.~.~,.~t~....~..,..= <br /> ''/ .. /- . <br /> <br />Revised Form SR-1 (6-78) All previous forms obsolete <br /> <br /> <br />