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NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTAT[ON <br /> DIVISION OF HIGHWAYS PETITION <br /> <br />~lorth Carolina <br />County of <br /> <br />Petition request for (check one) Addition to State System (~)~ Paving (,) <br /> Maintenance Improvement <br /> <br /> We the undersiqned, being all of the property owners on~/~'~m~ ~ <br />~y~ ¥. ~,'~.~-£7Z~..~ (Describd or give'local <br />name or Secondary Road Number) in <br /> Oxj~,r~.~ County do hereby request the <br />Division of Highways of the Department of Transportation to <br />the above described road. <br /> We further advise that the road requested to ~/~/' is /~ miles <br />in length and at the present time there are ~ occupiedhome. 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 ~mproved 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 />_ /.~;~..~-...,.q I;..'~ ,.~,~,~.,~ <br /> <br /> PROPERTY OWNERS <br /> NAME ADDRESS <br /> <br />The Division of Highways should contact the first petitioner listed be]ow: <br />_/V~;.~,~. ;,;~.~i~.~ ~:.~-.~1 C~,~,~,: .~,'~, c~J.,~ F~- ~z~ ~,p-~ ..... <br /> <br />Revised Form SR-1 (6-78) All previous fo~s obsolete <br /> <br /> <br />