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NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATION <br /> O~VISlON OF H[GHWAYS PETITION <br /> <br /> florth Carolina <br /> County of <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 /> p~j~¢ (DeScribe br give'local <br /> name or Secondary Road tlumber) in Cn~,~ ~..~ County do hereby request the <br /> Division of Highways of the Department of Tran~por~tion to <br /> the above described road. <br /> <br /> We further advise that the road requested to /'i~/J is miles <br /> in length and a~ the present time there are :R~ 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 ]eng:h 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-d(stance and desfgn purposes ,and to execute said right-of-way agreement <br />forms that::willbe..submitted~-to us by:repre~entati.ves~ofthe Oivi~ion of. Highways <br />in order.that theOivisionof. Highways~[u3fill~he requirements-of Chapter, 1244~r <br />1959 Session of the General'Rssemb]y o~:North=Carolina. . <br /> <br /> RE~RKS <br /> <br />Two copies of recorded subdivision plat enclosed if-applicable <br /> <br /> PROPERTY OWNERS <br /> NAME ADDRE SS <br /> <br />The Division of Highk. ays should contact the first petitioner listed below,: <br /> <br />Revised Form SA-1 (6~) All previous roms obsolete" <br /> <br /> <br />