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NORTH CAROLINA STATE DEPARTMENT OF TRANSPORYATION <br /> DIVISION OF HIGHWAYS PETITION <br /> North Carol ina !./ <br /> County of <br /> <br /> Petition request For (check one) Addition to State Syste~£NroF~ <br /> Paving (t..-)-" t; x OIST~iCT ~;~NSPo~iiON <br /> Maintenance lmprovemen~-~ ) <br /> <br /> We the undersigned, being all of the property owners on <br /> ~am?-~.-mn ...o .~ _{~?~'~0. (Describe or give loCal <br /> or S&condary Road Number) in ~ County do hereby request the <br /> Division of Highways of the Department of lransportation to <br /> the above described road. <br /> <br /> We further advise that the road reouested [o~J~ is · ~miles <br /> in length and at the present time there'are ~ ~ccupied homesmca ted 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 roa~ 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 /> ]959 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 /> NANE ADDRESS <br /> <br />The Division of Highways should contact the first petitioner listed below: <br /> <br />Revised [orm 5~-1 (6-78) ~1] previous forms <br /> <br /> <br />