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7 <br /> North Carolina Department of Transport osavE <br /> Division of s Hi hwa <br /> 9 Y <br /> Petition for Road Addition FEB 1 6 2016 <br /> N.C. Dept. of Transportation <br /> Division of Highways - 7th Div. <br /> ROADWAY INFORMATION: (Please PrinUType) District 1 - Graham <br /> County: 0- Road Name: 1,1.0 <br /> lease list additional street names and Iertas on the back of this form.) <br /> Subdivision Name: cLo `u iLLSTe-- Length (miles): <br /> Number of occupied homes having street frontage: ''1 1, Located (miles): <br /> miles N ❑ S ❑ E W of the intersection of Route and Route <br /> (Check one) (SR,NC,US) (SR,NC,US) <br /> We, the undersigned, being property owners and/or developers of cJ kDrk o - _ in <br /> OczvAse,, 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/Type) <br /> Name: (R Phone Number: q19' � S <br /> Street Address: WO .A-L` -e D o-e- /-0 h° <br /> Mailing Address: ° Ut e- L c T'S <br /> PROPERTY OWNERS <br /> Name Mailing Address Telephone <br /> Form SR-1 (3/2006; Rev 1/2010) <br />