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Request Release of State System Roads <br /> FENM - - DR - NC <br /> Requesting Applicant: <br /> In accordance with the Memorandum of Agreement on file between the NCDOT and the <br /> Requesting Applicant listed above; the local government is hereby requesting the <br /> NCDOT to release it's authority for FEMA reimbursement for emergency services to the <br /> local government authority for the State System Roads listed below. <br /> Release of all State System Roads ❑ or Selective State System Roads ❑ <br /> as Follows: <br /> Local Government <br /> Designated Agent: <br /> Date: <br /> North Carolina Department of Transportation <br /> Release by: <br /> Title: <br /> Date: <br />