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,'¢ORTH C>,ROL]~F4 STATE DEPARTNEIff OF <br /> <br />North Carol ina/~;, <br /> <br />Petition request for (check one} Addition ~o State System ~) DIWSIO~j~ . <br /> Paving ~ <br /> Flaintenaoce [mprovemen~ ( <br /> <br /> We the undersigned, being ali of the ~roperty owners or <br /> (Describe or give local <br />name or Secondary Road Number) io ~~County do hereby request the <br />Division of Highways of the Departmen~f Traosportation to <br />the above described road. <br /> <br /> We Further advise that the road requested to _~({(~_~ is /;~.~ miles <br />in length and at the :reseot time there are ~ .occupied homes located on <br />the road and having entrances inEo ~he road. <br /> <br /> FJnally, we agree to dedicate ~o the Division of Highv~ays a r~ghL-oF-way <br />sixty (60) feet in width extending the e~tire len9:n of the road that is requested <br />to be improved along with the necessary areas for cut and fill slopes and drainage. <br />Also, t.~e 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-~ay agreement <br />forms that will be submitted to us by represen:atives of the Division of Highways <br />in order that the Division of Highways fulfill the requirements of Chapter 12~~ <br />~959 Session of the Genera~ Assembly of North Carolina. <br /> <br /> REMARKS [ .... <br /> <br />Two copies of recorded subdivision plat enclosed if applicable .- <br /> <br /> PROPERTY OWNERS <br /> NAHE ADDRESS <br /> <br />The Division of Highways should contact the first petitioner listed below: <br /> <br />Revised Form SRzl (6-78) All previous forms obsolete <br /> <br /> <br />