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" NORTH CAROLINA STATE DEPARTMENT OF TRANSPORTATION <br /> DIVISION OF NIGHWAYS PETITION <br /> <br /> North Carolina <br /> <br /> Petition request for (check one) Addition tO State System (v)' <br /> Paving ( ) <br /> ~ D~A~ ~'C~ gNG~NEgR ' <br /> Maintenance Improvement ~ ~-_.. <br /> P~ DiViSiO~ 10./. . <br /> <br /> ~ We the UnderSigned, being all of the property owners 9~ <br /> ~ ~,~c~ (Describe or give ~oca~ <br /> name or Secondal~ Road Number[ in ~,-, County do hereby request the <br /> Division of Highways of the Department of Transportation to <br /> the above described road. <br /> <br /> We further advise that the road requested to is 0.~ miles <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, 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 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 copies of recorded subdivision plat enclosed if applicable <br /> <br /> PROPERTY OWNERS <br /> NAME ADDRESS <br /> <br /> The ivision o H' hways should~ontact the <br /> ~ petitioner listed b, elow:~,~/~ <br /> <br /> ~'. <br /> ' <br /> <br /> Revised Form SR-1 (6-78) All previous forms obsolete <br /> <br /> <br />