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NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATION <br /> DIVISION OF HIGHWAYS PETITION '' <br /> <br />North Carol ina <br />County of CZ HL~ X~fu~- <br /> <br /> Petition request for (chedk one) Addition to State System ( ~l:,,b,g t: 1,. <br /> Paving ( ) DISTRICT [i;GiNE£~ <br /> Maintenance Improvement ( ) DIVISION 10 ' <br /> <br /> We the undersigned, being all of the property owners on <br /> .,~,t('ld~"- (OesEr~b~ or give local <br />na~ or Secondary Road Number) in ~m~ County do hereby request the <br />Division of Highways of the Department of Transportatio~ to ~0 ~ ~X~ <br />the above ~escribed road. <br /> <br /> We further ~dvise that the road requested to ~ is , ~ miles <br /> in length and at the present time there are ~occupied homes located on <br /> the ~oad and having entrances into the road. ~ TO B~ <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 righ6Lof-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 />~-~ Ab REMARKS <br /> copies of recorded subdivision plat enclosed if applicable <br /> <br /> _-~Aoy, ./Al_._Z~u~_ <br /> <br /> PROPERTY OWNERS <br /> NAME ADORESS <br /> <br />The Division of Highways should contact the first petitioner listed below: <br /> <br />Revised Form SR-1 (6-78) All previous forms obsolete <br /> <br /> <br />