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z <br /> ,t .12 <br /> c AT':'IM''.. .e•.'4-1. I 4t <br /> • A:,-.40-A,N10• i.,-,.. :','' pi' <br /> 'L _ <br /> --^ - --------- North CaTOCiffe-Dee�ar-t—m-d-ffreiffir-arfsporratip ---- <br /> Division of Highways . OCT 0 3 2012 <br /> Petition for Road Addition <br /> At c <br /> �ti ' Aronv t liM op" i1 � Y <br /> • <br /> GRAMM <br /> ROADWAY INFORMATION: (Please Print/Type) <br /> County: Ora nc e Road Name: LJ v Ka-C-0_1( Lane, •• (. vtr)- <br /> J <br /> (Plea de list additional street names and lengths on the back oft s form.) <br /> Subdivision Name: 14)yn d 4Jt' Length (miles): 0 i 15 <br /> Number of occupied homes having street frontage: k Located (miles): 0 :1 <br /> miles N [1 S ❑ E Z W❑ of the intersection of Route 6V- 1 -1D and Route $ . 11 . <br /> (Check one) (SR,NC,US) (SR,NC,US) <br /> We, the undersigned, being property owners and/or developers of tnti-Calf in <br /> orany- County, do hereby request the Division of Highways to add the above described road. <br /> • <br /> CONTACT PERSON: Name and Address of First Petitioner.(Please Print/Type) <br /> Name: 4gy( A-i,6rk Phone Number: q,(q-qv o —056k, <br /> Street Address: • d 5 ) (Q I.J/nderr)pte . <br /> Mailing Address: v.,i \\,ko„cll., t I C a'1 a,'7 <br /> PROPERTY OWNERS <br /> • <br /> Name Mailing Address Telephone <br /> fcA Y--4fgrint a4q , //Od g/9.70//((/,7 9/9- 98,2-/P.,Y <br /> fr er e i( G P r o 6 2206 ag -r 5--(- Z '€-- ql q- A qc/O 2-5 <br /> d-54 erei .S)o r ltj 6 t,-✓yftd rte+ c-77 5.l / - 732---‹*-C.. <br /> C,,V.ar%, A T'C acY C to.k,a.d_ .-Na17 ®1a '�ores 4 'fir, S 1 9 -'7 3 a-3 a 1 b <br /> 12S E/ - f f2 - , SGz 2.-Soi <br /> 0`b TjYL t 9 -732= 4/7 <br /> erfrieSk elle Ggt.Ph - t o7 Avg k\ <br /> 6+ lNq- ai(0-'root <br /> (.... - ,A.;v:\ , 22-kn P■iwlect,..) vA C-,-\-- k. 10\ --73Z.'cifli II <br /> '` •" - ,, 1 ! - 1 A ` "� �9,7 <br /> Form SR-1 (3/2006;Rev 1/2010) • <br /> • <br />