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NORTH CAROLIaA STATE D£PARTHENT OF TRANSPORTATION <br /> DIVISION OF H]GHt.;AYS PETITION <br /> <br /> North Carolina <br />,. County Of · · ~ ,'~'-. - <br /> <br /> Petition request for (check one) Addition to State SyStem (~'~ <br /> Paving ( ) <br /> Maintenance Improvealent ( ) <br /> <br /> We the undersigned, beinq all of the property owners oil <br /> ~2A 91~/~,.~/2~;~,~.~,~ ~/~]. ~5~ s (Describe or give local <br /> n~l~e or Secondary 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/;'~,,J[,,/-~ is o. <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-~ay <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 sobdivision 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-1 (6]78) All previous forms obsolete <br /> <br /> <br />