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North Carolina Department of Transportation <br />Division of Highways TM <br />Petition for Road Addition JAN 2 � 20118 <br />ROADWAY INFORMATION: (Please Print/Type) <br />N.C;. Ciept. of In"nsWfi <br />QIvIS on ol i-li[7�Iw;1vFz - r S <br />Dlstrwt 1 - Graham <br />7 <br />— ir. <br />County. P-A 11j" _ Road Name: W69TMMPIaN WAY, (LIESMN &4AW� 39wrciaaepCauer <br />(Please list additional street names and lengths on the back of this forma <br />Subdivision Name: WesTtiAmrrou <br />Number of occupied homes having street frontage: 1? <br />Length (miles): 187 <br />Located (miles): , 5 <br />miles N ❑ S ❑ W ❑ of the intersection of Route N(- 54 and Route SR /1411 . <br />(Check one) (SR, NC, US) (SR, NC, US) <br />We, the undersigned, being property owners and /or developers of <br />ORAuc 6 <br />WESTHAMPToN 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) <br />Name: MOWS r9. r7EFFNER jflepyt4aR NoPekyey, &t. Phone Number: qlY- 9Zg -45f8 Co� <br />Street Address: (6 20 tI_E W _l-�PC- CN 0RQf IeaAD <br />Mailing Address: <br />Name <br />C APEI. HILL AIC' 271516 <br />Form SR -1 (312006; Rev 112010) <br />PROPERTY OWNERS <br />Mailing Address <br />SEA A j -A-ck D S-HEEr <br />Telephone <br />