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NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATION <br /> DIVISION OF HIGHWAYS PETITION <br /> <br /> Horth Carolina , ,/ <br /> County of ~.~ ~y~-~ .5 <br /> Petition request for (check one) Addition to State System ~ Paving ( ) <br /> Maintenance Improvement ( ) <br /> <br /> ~ .e und~signed, being property owners on ~)~ <br /> the <br /> ~11 <br /> of <br /> the <br /> ~ ~_~ /~ ~' ~ (Describe or give local <br />Vn~ Secondary Road Number) in ~ County do hereby request the . <br />Division of .i~h.~y~ of ~h~ ~p~tm~.~ of ~.spo.t~tion ~o ~Y2 ~*~Y~ ~$~ <br />the above described road. <br /> <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 pub)lc 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 fulfi)l the requirements of Chapter 1244, <br />1959 Session of the General Assembly of North Carolina. <br /> <br /> ._ REF~RKS <br /> <br />T~e~. copies of recorded subdivisidn plat enclosed if applicable <br /> <br /> PROPERTY OWNERS <br /> NAHE ADDRESS <br /> <br />vision of~hwa~,s should_contact the first petitioner listedbelow: <br /> <br />Revised Form SR-1 (6-78) All previous forms obsolete <br /> <br /> q <br /> <br /> <br />