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I <br /> NORTH cAROLiNA STATE DEPARTMENT OF TRANSPORTATION <br /> DIVISION OF HIGHWAYS PETITION <br /> <br />North Carolina <br />County of <br /> <br />Petition request for (check one) Addition to State SystemiC') <br /> Paving <br /> Maintenance Improvement ( ) <br /> <br /> We the undersigned, being all of the property owners on (..~ e/ge~ <br /> D~;,x ~ Z~,,~,~CLr~ ~"~ (Descr--~-FTE¥or give lo~al <br />nam~ or Sec6n~ary Rbad'Number) in ~ ...... r County do hereby request the <br />DiVision of Highways of the Department of Transportation to o ~9¥) --f-~ ~_~ x,[~ <br />the above described road. ~e~ <br /> We further advise that the road requested to ~ ~¢~is , ~ 0 miles <br />in length and at the present time there are ~ Occupied homes ~ocated 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 />~ixty (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 />The Division of Hi~qhways should contact the first petitioner listed below: <br /> <br /> ~' /" · '"-',r" /' .- , ~ ' ' <br /> <br />Revised Form SR-1 (6-78) All previous forms obsolete <br /> <br /> <br />