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North Carolina Department of Transportation <br />Division of Highways <br />Petition for Road Addition <br />ROADWAY INFORMATION: (Please Print/Type) <br />N,C. Dept, of Transportation <br />Division n <br />Division of Highways - ,t <br />District 1- Graham <br />County: 0 Izf4 P,� CDC Road Name: rir b.P-Yi -e- <br />(Please list additional street names and lengths on the back of this form.) <br />Subdivision Name: P m be I" t a9 -' <br />Number of occupied homes having street frontage: g <br />Length (miles)-. 0108 <br />Located (miles): <br />miles N ❑ S rA E ❑ W E] of the intersection of Route 0LD K(I 10 and Route I I 0 <br />(Check one) (SR NC, US) (SR, NC, US) <br />We, the undersigned, being property owners and /or developers of in <br />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) J t <br />q, h'+ re l,C170 <br />Name: 0— Phone Number: CI 1 ' 7 3 7' 0 50 <br />Street Address: 3 ip 5 Tt- <br />Mailing Address: 01 ki Ae I 1 f r /1f ;z 1-5 4 z Z� <br />PROPERTY OWNERS <br />Name Mailin Address Telephone <br />DQe �'I►�4 '�a, Mailing 3lei Hm e ro r 9 19 - 7q -1 •a 501 <br />JMr(Fcw4�'L �- %�147i2IC[►4+ tE^1i5 .3 4a bye, A2, a'f? &l? 4Z7p <br />ilk►.► �t 6+'fs�,c. I L A,nbc,- y� - 3 fr'Z -o�y/ <br />Form SR -1 (312006; Rev 112010) <br />