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NORTH CAR.ULINA DEPARTMENT OF T1tANSP0~.2TA ~ ~ ~~ <br />PETITION It OR ROAD ADDITION " <br />FORM SR l REVISED 1-99 ~~~ ~• ~ ~~~ <br />ROADWAY INFORMATION: (Please Print) ~" -~~` ~~~~~~ <br />' ~ ~ . StQ~t ~ 3~liF--ii~iA~'~ <br />County: L~%'~=h~-c~~. Road Narne: ~ ,Q-I ~^C ~,~ kz.~Jl •~7~ i ~/~~.;i 61,~A~• <br />(Please Itst additioaal street names and lengths ott the back of this form.) <br />Subdivision Nszne: ~~+PvL~~PN ~~'T~ j~~ I.eng-th (miles): U. f2- <br />Numher.of occupied homes having street frontage: j0 <br />Location: L~ . ~. miles N ~ E W of the intersection of Route ~ '~"i and Route ~jZ ~"`.,~' ~~v <br />(Circle one) (SR, NC or US) (SR, NC or US} <br />. We, fhe undersigned, being property owners and/or developer of ~A1y(F~c~ ~~?'~I~~~ "~~'D in <br />t'JjZ©,11C~ ~ County, do hereby request the Division of Highways to add the above described rt~ad~, <br />CONTACT PERSON: Name and.Address of First Petitioner. (Please Print) <br />Name: r~~=1~ ~..~ ~' ~:l~rt '~~.t}}G Phone Number: (`~ F~> .'7- (I'7~- <br />Street Address: ~ Ca Lv W , cal- A T 1-1 f~ N1. '~T. . <br />Mailing Address• •~~~ ~'~,taj< ~C>(n~- ~'l~~.?C ~ ''Z~7~-~- ~ Z.. <br />PROPERTY OWNERS <br />NAME MAILING ADDRESS TEI,EPH(?NE <br />~:~~ •-~.~~L.~ ,,nl~r.1 T. ~ t~~.. "1 ~~. hft _ ~t~r--E. •ZZ <br />. <br />L-~ G G. C~ ~ <br />32 <br />