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tlorth Carolina .-, <br /> County of n.~,,. <br /> <br /> Petitio~ request for (check one)Addition to State System (,) <br /> paving ( ) : o/ "' <br /> Maintenance Improvement ( ) .~%~.~\~,~0~S' <br /> <br /> We the undersigned, being all of the property owners on _ _ <br /> & ~11m 0o~-~ (Describe or give ~ocal <br /> na~ or Secondary Road Number) in ~m~m County do hereby request the <br /> Division of Highways of the Department of Transportatio~ ~o <br /> the above described road. <br /> <br /> We further advise that the road requested to ~a~ea is miies <br /> in length and at the present time there are occupied homes located on <br /> the road and having entrances into the road. <br /> <br /> Finally, ~e 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 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 agreement <br />forms that will be submitted to us by representatives of the Division of Highw6ys <br />in order that the Division of Highways fulfill the requirements of Chapter 1244, <br />1959 Sessio~ 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 /> NAME ADDRESS <br /> <br />The Division of Highways should contact the first petitioner listed below: <br /> <br />Revised Form SR-I (6-78) All previous forms obsolete <br /> <br /> STREET NAME APPROVF/) <br /> CflBAILRUS COU~{TY PLANNING <br /> <br /> ..~ ,-~._~'/ ._~ <br /> <br /> <br />