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North Carolina Department of Transport <br />Division of s Hi hwa �7 D <br />J Y <br />Petition for Road Addition FEB 16 2016 <br />ROADWAY INFORMATION: (Please Print/Type) <br />N.C. Dept. of Transportation <br />Division of Highways - 7th Div. <br />District 1 - Graham <br />County: Cf-& C� Road Name: T -- �� 6( <br />lease list additional street names and lerWAs on the back of this form.) <br />Subdivision Name: [� ��oa"!,� �t�(' -- Length (miles): - <br />Number of occupied homes having street frontage: Located (miles): <br />miles N ❑ S ❑ E ❑ W ❑ of the intersection of Route and Route <br />(Check one) (SR, NC, US) <br />(SR, NC, US) <br />9 <br />We, the undersigned, being property owners and/or developers of _B4 k4Dnn (2.-t in <br />f) rZt,nit e 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: Phone Number: <br />Street Address: <br />Mailing Address: - j Vt e �k CG <br />Name <br />Form SR -1 (3/2006; Rev 1/2010) <br />PROPERTY OWNERS <br />Mailino Address <br />Telephone <br />