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ii <br /> <br /> NORTH EAROLI~JA STATE DEPARTNENT OF TRANSPORTATION <br /> DIVISION OF HIGHWAYS PETITION <br /> <br /> IIor tl~ Carolina <br /> <br /> Petition request for (check one) Addition to State System Paving ( ) <br /> Naintenance Improvement ( ) <br /> <br /> We the undersigned, being ail of the property owners on <br /> <br />, n~l~"~~ ~oad Number) in ~q~G-~ty do hereby request the <br /> Division of Highways of the Depar~en~ of 7rans~tion to <br /> the above described road. <br /> <br /> We further advise that the road requested [g is =~_ m~ies <br /> in )ength and at U}e presen~ time there are ~' ..... occupied homes ]ocated <br /> O~e road and having entrances into the road. <br /> <br /> Fiscally, we agree to ~edicate to the Division of ttighways a right-of-way <br /> sixty (60) feet in width extending the entire length of the road that is requested <br /> co be improved a?ong wi~h ~he necessary areas for cut and fill slopes and drainage. <br /> Also, we agree to dedicate additional right-of-way in tim public road intersections <br /> for sight disl:ance 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 tha~ the Division of Highways fulfill the requirements of Chapter 1244, <br /> 1959 Session of the General Assembly of North Carolina. <br /> <br /> REMARKS <br /> <br /> Two co.o~,es of ?~coreJed subdivision Plat enclosed if applicable <br /> '~I~.~ /bc~',~',,~_ I~ll, l~i <br /> <br /> PROPERTY OWNERS <br /> NAME ADDRESS <br /> <br /> Tbe Division ~f ~ig~ways should contact the first petitioner listed below: <br /> <br /> · ~ ~ e'[~,~,~ ~ k ~ .. ~c~ ~c.-,"' ~ ;'~- <br /> <br /> Revised Form SR-1 (6-78) All previous form~ obsolete <br /> <br /> <br />