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NORTH CAROLINA STATE DEPARTMENT oF TRANSPORTATION <br /> DIVISION OF HIGHWA?S PETITIOH <br /> <br /> ~orth Carolina <br /> County of <br /> <br /> Petition request for (check one) Addition to State System <br /> Paving ( ) <br /> Maintenance Improvement ( <br /> <br /> W~ the undersigned, being all of the property owners on'~- P~Io~ <br /> .I~.9~L~o~ ~t~ ~O~r~ ~'-I-~¢~ (Describe or give local <br /> name or Secondary'Road Number) in ~~_ County do hereby request the <br /> Division of Highways of the Department of Transportation to ~l~(~ <br /> the above described road. <br /> <br /> We further advise that the road requested to_~!)~ is /,/~ miles <br /> in length and at the present time there are _-/Z~L 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 submitte~ 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 /> copies of recorded subdivision plat enclosed if applicable <br /> <br /> PROPERTY OWNERS <br /> NAME ADDRESS <br /> <br />~ivision of Highways should contact the first petitioner listed below: <br /> <br />Revised Form SR-1 (6-78) All previous forms obsolete <br /> <br /> <br />