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NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATION AND.HIGHWAY,S,AFETY <br /> DIVISION OF HIGHWAYS PE..TITION .~..~.Cj~?..'.,]ZJ <br /> <br />North Carolina _. ~ '~ .r? ~ ...~ <br />Petition request for (check one) Addition to State Sys~2~'P~tng { ) <br /> Maintenance Improvemeff~ (~' <br /> <br /> We th~ undersigned, bein~ all of the proper,ty owners qn <br /> ~,~ ., (Describe or giv~ local <br />name off Secondary Road Number) in ~~ County do hereby request <br />the Division~ighways of the Department of Transportation and Highway Safety to <br /> /~x~ the above described road. <br /> We further advise that the road reques}ed to ~ <br />length and at the present time there are (~ occupied homes located on the <br />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 extending the entire length of the road that is reRuested <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 the public road intersections <br />for sight distance and design purposes and to execute said right-of-way agre~ent <br />forms that will be submitted to us by representatives of the Divisiop of Highways <br />in order that the Division of Highways fulfill the requirements of Chapter 1244, <br />~959 Session of the General Assembly of North Carolina, <br /> <br /> REMARKS <br /> <br />Two copies of recorded subdivision plat enclosed if applicable <br /> <br /> PROPERTY. OWNERS <br /> NAJ4E ' ADDRESS '" <br /> <br />The Division of Highways shou]d contact the first petitioner listed below: <br /> <br />Revised Form SR - 1 (7 - 73) All previous forms obsolete <br /> <br /> <br />