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NORTH CAROLINA STATE DEPARTMENT OF <br /> <br />~orth Carolinaf-~-~. ! _ <br />County of ' ' - ' <br /> <br />Petition request for (check one) Addition to State Pavina (') <br /> Maintenance [mpr d~veme n t '(~m~'-~ <br /> <br /> We the undersigned, being all of the propert9 owners on ~~,~ ~,~- <br />.~',~-'~.,X~,f?~ ~.-,m,,~ ~'~.~ '/-' ,¥'~.~.~- (Describe or g~ ve local <br />name or Secondary RoadNumber~ in O-~c.~ /County do ~ereby request the <br />Division of Highways of the Department of Transportation to ~_~-~/ ~ ~7z~cT?~ ~o--~ <br />the above described road. <br /> We further advise that the roadSrequested to ~ is miles <br />in length and at the present time there are /~- "~occupied ho~e~ located o~ <br />the 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 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 Highways <br />in order that ~he Division of Highways fulfill the requirements of Chapter 124q, <br />1959 Session of the General Assembly of North Carolina. <br /> <br /> REMARKS <br /> <br />Two cop}es of recorded subdivision plat enclosed if applicable <br /> <br /> PROPERTY OWNERS <br /> NAME ADDRESS <br /> <br />The Division of Highways should c~ntact'the first petitioner listed below: <br />Revised F~rm SR-1 (6-78) All previous forms obsolete <br /> <br /> <br />