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NORTH CAROLINA STATE DEPARTNERT DiV!S!Oii OF HIGHWAYS <br /> <br />ttor tl~,,Carol ina <br /> <br />Petition request for (check one) Addition to <br /> <br /> We the undersigned, being all of the property owners on <br />:~.-.~.f,z~._,~ (DesCribe or give local <br />Dame or Secondary Road Number) in Co~ty do hereby request the <br />Division of Highways of the DepartmetL of Transportation to <br />the above described road. <br /> <br /> We fu~4ther advise thaL ti~e road requesLed Lo is miles <br />iD length and at the present time there are ? occupied homes ]ocated 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 extendihg the entire length of the road that is requested <br />to be improved along with tl~e 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 righE-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 12~4, <br />1959 Session of the General Assembly of North CarD]ina. <br /> <br /> RENAR,KS <br /> <br />Two copies of recorded subdivision plat enclosed if applicable <br /> <br /> PROPERTY OWNERS <br /> .... 1~ ADDRESS <br /> <br />T~.~ Division of Highways should contact the first ,etitioner listed below: <br />Revised Form SR-i-~6-78) Al~ previous forms obso]e'te · <br /> <br /> <br />