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24 <br />North Carolina Department of Transportation . ~~~ ~ ~ 2~~~ <br />. Division of Highways <br />Petition for Road Addition a. ~. ~,: ~ ~k~o~A <br />Slt~N gr E:~t~Ht9fAY8 <br />~~ ~. -.~ <br />ROADWAY INFORMATION: (Ptease PrmtlType) <br />County: d~~~C Road Name: /~C->' ~l t'~~-'T- <br />(Please list additwnal street names and lengths on the back of this form. ) <br />Subdivision Name: ~ ~'~~ ~~-~- p,~,~~ ~GZ.• Z Length (mnesk ~ C7. ~ ~.(/ <br />Number of occupied homes having street frontage: ~ ~ ~ Location ~ ~p, ~ ~ <br />miles miles N [{ S ^ E ~ W ~of th_ a intersection of Route ~ y4~ ~ and Route,. / 3i Z <br />{Check one} ~ {SR, NC, US) {SR, NC, US) <br />We, the undersigned, being. property owners and/or developers of ~~zP~, Eris in <br />~~;~~~ County., do hereby request the Division of Highways to add the above described road. <br />CONTACT PERSON: Name and Address ofi Frst Petitioner. {Please Prmt/Type) <br />i <br />1 <br />Name: ~~S~~s 6. ~ l~~ ..Sorha~D~~ Phone Number: ~~~'' v!o-3'~7~ <br />} Street Address: ~' ~ ~ ~' ~~~i2.(~ C~, ~. . ~1'tv ~~~ ~,C~ ~~ ~~ <br />Mailing Address: <br />~f <br />Name <br />PROPERTY OWNERS <br />Mailing Address <br />Telephone <br />-~76 <br />Form SR-1{1/2001) <br />