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NORTH CAROLINA STATE DEPARTMENT OF TRANSPORT~]i~ <br /> DIV SION Or N,G"WAYS PETITION <br /> <br />North CarOling~ z '~L 1G ~919 <br />County of . {.~,~P~__~ oEPARI~Ak~T'O~ <br /> v _ z .-.~.4)ISTRICT ENGINF-Ji~ <br />Petition request for (check one) Addition to State S.ste~ <br /> Paving ( ) <br /> Maintenance Improvement <br /> <br /> ,tho undersigned, being, all of the property owners on <br /> ~ -. ~, .,.;~~ (Describe or give local <br />nam~ bP Secondary Road Numbe~) in ~~ County ~o heveby request the <br />Division of tlighways of the Department of Transportation to~u~ <br />the above described road. <br /> <br /> We further adv'ise that the road requested to~..tl. ~/~.~.',,,fis ~miles <br />in length and at the present time there are /~/~occupied homes located on <br />the road and having entrances into the Eoad. <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 necessa~T areas for cut and fill slopes and drainage. <br />Also, we agree to dedicate additional right-of-way in the public road intePsections <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 o¢ Highways fulfill the requirements of Chapter 1244, <br />1959 Session of the General Assembly of North Carolina. <br /> <br /> RE~RKS <br /> <br />Two copies of recorded subdivision plat enclosed if applicable <br /> <br /> PROPERTY OWNERS <br /> NAME ADDRESS <br /> <br />The Division of Highways should contact the first petitioner listed below: <br /> <br />Revised Form SR-1 (6-78) All previous fo~s obso}ete <br /> S~EET NA}~ APPROVED <br /> CABA~ ~NT~LANN ~q <br /> <br /> <br />