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County C,~ ..... o Ce File ;(~. <br />Township .:,. ~,i~ File No. _.__:___.--!__ <br /> <br />Local Name gL. ,. %~-: ~1 ....... :::-~-~4~_J]:.C~ Subdivision Name L. . <br /> <br />Length ."( '"~ Width ..................... ly>e ......... Cm~ditic,~] '--i'- <br /> <br />Is thls a subdivisian stro,:: ~uej,-,tt EC. ~::e ,::o.'st,'~:L',.q refiuiFements for such <br />streets? : - Rc. cu:-d~.a " . ~1.:4,.' <br />Is this a subdivision E~,'~e-t :ubject [> ~,,m ~,':ads:tm <br />N~mber of homes having (.n~rarlc~E ':nfo <br />Other uses baying entrar,cee ~lt,] ~pa,: <br />Does right-of-way obtair~e:~ :l~ee[ T,,e-.enL t. iv~sian OF h~i~hwa./s re(~uirement? <br />If not, why? ~.cm i~. ~ ' . ........... · ..... --__~ . <br />!s petition (T~:~-~a'E~ff .... ;- ........ b-:: <br />Is ti~e County Commissioners' E:~C::~]-Ts~-Z) alta=hi.d! <br />If not, why? <br />Does the reno mee~ preseni mil~hm.,a~ ~iSvisien c.f Highways construction requirements? <br /> <br />If not, state w~;at is need~ to place the road in an acceptab}e maintenance <br />condition under Remarks and Recommendatioils. <br />Is a map attached indicating information for reference i~ locating road by the <br />Pla~ aing Department? <br />Cost to place in acceptable maintenance condition: Total Cos~ S ~ <br />Grade, drain, stabilize ~ Drah~age q . Other ~ <br /> <br />Remarks and Reco~endations ' : ::..-,: :-- ~.~,~'~ I :.~ -,.,~ <br /> <br />Reviewed and approved <br />Board of Transuortation h:,ue <br /> <br />Reviewed and approved .... ' ..~'- <br /> DIVISION ENG!NE[R DISTRICT £NGINEER <br /> <br /> (Do nc, L write in ,':bis space - <br /> Fo,, us~ of Secondary Roads Dept. <br /> <br /> Petition NFL <br /> <br /> (Do not write in this space - <br /> For use of Planning Dept.) <br /> <br /> <br />