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m <br /> <br /> DIVISIOI( OF HIGHWAYS PETITIOt~ <br /> <br /> t~or th Ca rol ina/.~); <br /> County of ~; ~ L~_zS/~_~ OCT <br /> <br /> Petition request for {check one) Addition to State System ~ <br /> Paving { .) <br /> Maintenance Improve~nt ( <br /> <br />We t~ undersigned, b.tng all of the ~operty ~ners on <br /> ~//~ ~(~e~ ~. ~ /~d~ ). . (~scribe or give local <br />~n~n~ or 'S~6Ondary Road ~er) in ~/~x~7 County do hecebg ~req~est the <br /> Division of Highways of the Depart~nt of Transportation to <br /> :he above described road, <br /> We further advise that the road requested to ~ Is ~.Z~ miles <br /> in length and aC the present time there are ~ occupied homes located on <br /> the road and having entrances into the road. /.~,~. <br /> <br /> ~aFinally, ~e:agree to dedicate to the Division of Highways a right-of-way <br /> ~t~-q~ fee: 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, ~e agree to dedicate additional right-of-way In the pub)it road intersections <br /> for sight distance and design purposes and to execute saiU 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 :he requirements of Chapter 1244, <br /> 1959 Session of the General Asse~ly of ~orth Carolina. <br /> <br /> · REMARKS <br /> <br /> T~o copies of recorded subdivision plat enclosed if applicable <br /> <br /> PROPERTY OWNERS <br /> NN4E ADDRESS <br /> <br /> lhe~ivf~onL~Ll::~agh~v~hould contact the <br /> <br /> Revised Form SR-I (6-78) All previous forms obsolete <br /> <br /> <br />