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NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATION ' <br /> DIVISION OF HIGHWAYS PETITION <br /> <br />Horth Carolina <br />County of <br /> <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 /> (Describe or give 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, 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 pubtic 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 ordeh, that the..Div~sioh: of. Highway~:~ul.f~ll:'~h~ req~irementS:_of=Chap~er::124~. =: <br />1959 Se~ion{of: the ~eneral}Assembl~:of:fNbrth: Caro)ina.: .:! ?::.:. <br /> <br /> RE)~RKS <br /> <br />Two copies of recordedsubdivision platenclosed.if..applicab.le' <br /> <br /> PROPERTY OWNERS <br /> NAI~,E ADDRESS <br /> <br />1)~e D~is.io~ oj[ High.~lay~. sho~l~co~act ~/~/irst~p~titjh~er lis~ed ~e)ow: <br /> <br />Revised Form SR-1 (6-78) All previous forms obsolete <br /> <br /> <br />