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NORTtl CAROLINA STATE DEPARTHENT OF TRANSPORTAT!ON <br /> DIVISION OF HIGHWAYS PETITION <br /> <br />North Carolina <br />County of ~_~ <br /> <br /> Petition request for (check one) Addition to State System <br /> Paving (') <br /> Maintenance hnprovement ( ) <br /> <br /> , We the undersigned, being all of the property owners on ~/~3~ <br />__ ~/'~ --- (Describe or give local <br /> name or Secondary Roa~in ~~_ County do Imreby request the <br /> Division of Highways of the Department of Transportation Lo <br /> the above described road. <br /> <br /> We fur~imr advise that the road requested to is ~ miles <br /> in length and at ~i~e present time there are ~O occupied homes located on <br /> the road and having enErances 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 lengtl~ 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 ~he public road intersections <br />for sight distance and design purposes and to execute said right-of-way agreement <br />forms that will ~e 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 />1959 Session of the General Assembly of North Carolina. <br /> <br /> REFIARKS <br /> <br />Two copies of recorded subdivision plat enclosed if applicable <br /> <br /> PROPERTY OWNERS <br /> NAHE ADDRESS <br /> <br />The Division of Highways shoul.d .con~act the first petitioner listed below: <br /> <br /> ,' 72': <br />~,. ? · , ~:.: ....... ,. <br /> <br />Revised Form SR-I (6-78) All previous forms obsolete <br /> <br />, i, ' ,', -/':' '~'' ]': ':"'/'; > ..... <br /> <br /> <br />