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NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATION <br /> DIVISION OF HIGHWAYS PETITION <br /> <br />County of ~ ~r~ ~L~8~ '?~, <br />Petition request for (check one) Addition to State System (~-)' <br /> Paving ( ) <br /> ~aintenance Improvement ( ) D~ISION ~u- . <br /> <br /> We the undersigned, being all of the property ~ners on <br /> (Describe or give local <br />na~ or Secondary Road N~ber} in ~J~'~? 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 ~/q.~ is ''..- miles <br />in length and at the present time there are '~F:~ .... / 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 public road intersections <br />for sight distance and design purposes and to execute said right-of-way agreement <br />fo~s 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 1944, <br />1959 Session of the General Assembly of North Carolina. <br /> <br /> RE)~RKS <br /> <br />Two copies of recorded subdivision plat enclosed if applicable <br /> <br /> PROPERTY OWNERS <br /> NAME ADDRESS <br /> <br />The Division of Highways should contact the first petitionPr listed below: <br /> <br /> I-[ ~?i - '.-~"-. - ~,'~'" ' "" <br /> i~. :;,., .~ ,. /:.~- /.:~ ..~,*/,.~//y~'. <br /> <br />Revised Form SR-1 (6-78) All previous forms obsolete <br /> <br /> <br />