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<br /> NOV 3 2005
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<br /> NORTH CAROLINA DEPARTMENT OF TRANSPORTA i iGNsioN OF titGiiwo,5
<br /> - PETITION FOR ROAD ADDITION - ,7fg,Riet,i-,GRAHAIVI
<br /> FORM SR-1 REVISED 1-9
<br /> ROADWAY INFORMATION: (Please Print)
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<br /> County: 0 1a...rk3-e...... Road Name: (...-r1 i Arre neas a- 4' Akaettret, La.ilo-
<br /> (Please list additional street names and lengths on the back of this form.)
<br /> Subdivision Narne-:-Re. --Are --- 64 Ai, oite-,Q.. Clat-tt RI, Length (miles):
<br /> Number of occupied homes having street frontage:
<br /> Location: 2-1 miles NOE W of the intersection of Route 016/5-Th0 I and Route NI c 5-24-
<br /> (Circle one),; (SR,NC or US) (SR.,NC or US)
<br /> We,the undersigned,being property owners and/or developer of 1'1A.L. Re5e._r ve. 2 . in
<br /> Ora/Ise' County, do hereby request the Division of Highways to add the above described road.
<br /> CONTACT PERSON: Name an Address of First Petitioner.(Please Print) (5 .&\,:lickre.. 0..c
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<br /> Name: rf,--ef--IY / reitE a Phone Numbg/? 9;4 tr---- 10Y---S-6-1.)
<br /> Street Address: 2-07 xee
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<br /> Mailing Address: . "1.641-e-
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<br /> PROPERTY OWNERS
<br /> NAME (6 if\ --U r ) MAILING ADDRESS TELEPHONE
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