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ICROLINA 11 921 <br />NORTH STATE DEPARTMENT OF TRANS ORTATION <br />DIVISION OF HIGHWAYS PETITION <br />North Carolina <br />County of 1711 <br />Petition request for (check one) Addition to State System ( ) <br />Paving <br />Maintenance Improvement ( ) <br />We thg unde signed, being all of the property owners on <br />County0docherebyrregive questothe <br />name or Secondary Road-Number) in oo_ <br />Division of Highways of the Department of Transportation to ~)a , <br />the above described road. <br />We further advise that the road requested to is S /d 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 />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 rioht-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 />REMARKS <br />Two copies of recorded subdivision plat enclosed if applicable <br />PROPERTY O':iNERS <br />NAME ADDRESS <br />Division ofyyghyygys should ytontact/3}e first Detitioyerelisted below <br />Op <br />fGi <br />