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NORTH CAROLINA STATE DEPARTMENT OF TRANSPoRTATIolt~/.J ~ , <br /> DIVISION OF HIGHWAYS PETITION I~AY 1~ ~B~ ~ <br /> <br />North Carol ina J~Jl~tlll~llT 1~ 1~.~1~1T/,II1~I <br />Couoty of "' <br />Petition request for (check one) Addition to State System (~'"'~ Paving ( ) <br /> Maintenance Improvement ( ) <br /> <br /> We the undersigned, being all of tile property owners on ~//Oer ~ J ~/ <br /> (Des6ribe 6r gi~e local <br />name or Secondary Road Number) in County do hereby 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, ~e 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 /> · le ~ <br />Two copies of recorded subdivision plat enclosed if applicab <br /> <br /> PROPERTY OWNERS <br /> NAME ADDRESS <br /> <br />The~Division of Highways should contact the first petitioner listed below: <br /> <br /> , - ~ ~ ', -- ~: -/~ :- .., ~ ', I .... <br /> <br />Revised Form SR-1 (6-78) AI] previous fo~s obsolete <br /> <br /> <br />