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m <br /> NORTH cAROLINA STATE DEPARTMENT OF TRANSPORTATION · <br /> DIVISION OF HIGh'WAYS PETITION <br /> <br /> North Carolina <br /> County of ~e ~ ~ v~ <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 /> /)~;~e__. ~/;4 ~ ~ ~,r (Des6ribe or~qive local <br /> name or Secondary Rl~ad Number) in ~ County do hereby r~quest the <br /> Division of Highways of Lhe Depar(ment of TranspOrtation to <br /> the above described road. <br /> <br /> We further advise that the road requested to~e~,;,t~:~,~s ~0 miles <br /> in length and at the present time there a~e ~, occupiedhomes' 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 (6D) 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 c}f~s should contact the first petitioner listed below: <br /> <br /> .~ ~,.Y~/]~-~.-~=-,-,,. ' /Ih7 ;"/-,,,~,-~:_ x~.. <br /> <br /> Revised Fom SR-1 (6-78) All previous foms obsolete <br /> <br /> <br />