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NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATION <br /> DIVISION OF HIGHWAYS PETITION <br /> <br /> North Carolina /~2 . <br /> County of <br /> <br /> Petition request for (check one) Addition to State System (~- Paving ( ) <br /> Maintenance improvement ( ) <br /> <br /> t~pnd~rsigned, being all of the property owners on ~m///$¢ ~. <br /> ~W~,~. ~--~-t (Describe or give loca~ <br /> name/or Secondary Road Humber) in ~'~/~-~xu~-~-- 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 /~ <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 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 /> RE~RKS <br /> <br />Two copies of recorded subdivision plat enclosed if applicable <br /> <br /> PROPERTY OWNERS <br /> NAME ADDRESS <br /> <br />The Oivision of Highways shouJd contact the first petitioner listed below: <br /> -?,~'~., - ~S',.~ (o '~/ <br /> <br /> (J,. <br /> <br />~vised Form SR-1 (6-78) All previo~ fo~s obsolete <br /> <br /> I <br /> <br /> <br />