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NORTH CAROLINA DEPARTMENT OF TRANSPORTATION <br />• PETITION FOR ROAD ADDITION <br />FORM SR-1 REVISED 1-99 - <br />ROADWAY INFORMATION: (Please Print} <br />County: ~~~~~~ ~„ ~,;,; ~. Road Name: c <br />. (Please list additional street names and lengtris on the back of this form.) <br />~' i`, f l,, "~f <br />Subdivision Name: ~~ 4.,~-; t, ~ t'-~t.1 ~' ~ ~~ {' ~ ~ ~ ~ "~ ~ Length (miles): ~ ~ ~~~' ~ ~ 7 <br />c~ <br />Number of occupied homes having street frontage: ~ ` <br />~ ~~ ~~ <br />Location: ,~-.~, . ~,_~ miles N S E W of the intersection of Route (> 1~ and Route ' . ~ ~ `~~~ <br />(Circle ane~`~ (SR„!(IC%or US) - ' (S NC or US) <br />We, the undersigned, being property owners and/or developer of ~ t ~ ' ~ ~+ t` ~_. c.~.~ ~~ ~ ~i.~~ (.-?~ in <br />t,•.}'~, ~; ~ ~-~-~,•, County, do hereby request the Division of Highways to add the above described road. <br />CONTACT PERSON: Name and Address of First Petitioner. (Please Print) ~~ f ~~ ~- ~ ~' ~t.A_.. ~"~"`~ <br />Name: ~.rl~~1S•~~~~ ~3~..% ~~~`~~~ ~ ~ t~ 1~.~-1" ~~~~~'~ Phone Number: ,~~~'.''~~~~°t_..~ ~7 <br />Street Address: f 1 ~ ~~ ~ ; ~ n'~ ~~ ~ ~! 1~~ ~ ` ~,(~k ~~ ~ ~~ ,. ~~ 6`l.. ~' d -~'Jr ~ ..,a <br />pp r _ <br />Mailing Address: I ~ ~ ~ tla (~'} ,~ ~ (`~ ~'~71 ~ i~~ ~, ~1~ ~. ~ ~~ ~ ~= - <br />PROPERTY OWNERS <br />NAME ~ MAILING ADDRESS TELEPHONE <br />t~. c, ~lrpr, cr- 7R,~if~SPOiil~A71oN <br />.._.._.__._. -...---- 171ViSi0l~. OF hilGh`~'~AY~ <br />p1S7RIC7 1•GRAHAM~ <br />32 <br /> <br />