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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 />County: ORANGE Road Name: Avon Brook Lane <br />(Please list additional street names and lengths on the back of this form.) <br />Subdivision Name: Pleasant Green goods Length (miles): 0.1 <br />Number of occupied homes having street frontage: 4 Located (miles): 0.4 <br />miles N ❑ S ❑ E ® W ❑ of the intersection of Route 1567 and Route 1642 <br />(Check one) (SR, NC, US) (SR, NC, US) <br />We, the undersigned, being property owners and /or developers of Pleaseant Green Woods -in <br />Orange County, do hereby request the Division of Highways to add the above described road. <br />CONTACT PERSON: Name and Address of First Petitioner. (Please PrintfType) <br />Name: Charles Porter <br />Phone Number: 718 -536 -8822 <br />Street Address: 5712 Jomali Drive Durham, NC 27705 <br />Mailing Address: 5712 Jomali Drive Durham, NC 27705 <br />PROPERTY OWNERS <br />Name Mailing Address Telephone <br />Stephen & Rhonda Tsotsoros . 3901 Avon Brook Lane Durham, NC 27705 <br />Edward & Heather Sirgany OUdtwV,3909 Avon Brook Lane Durhain, NC 27705 <br />Lin & Paula Stewart 3915 Avon Brook Lane Durham, NC 27705 <br />Steve &Deborah Suggs r' . ,, ^A 916 Avon. Brook Lane Durham, NC 27705 <br />IN- <br />OU . <br />Form SR -1 (3/2006; Rev 1/2010) <br />