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T <br />NORTH CAROLINA DEPARTMENT OF TRANSPORTATION <br />PETITION FOR ROAD ADDITION <br />FORM SR -i REVISED 1 -9 <br />ROADWAY INFORMATION: (Please Print) <br />County: ORAaG12, Road Name: IAj3ti/* 1&,3C, C.xY sn) CA �- <br />(Please list additional street names and lengths on the back of this form) <br />Subdivision Name: I -)qiv ) t /\L A" -rmcsi Length (miles): 0, 0v' <br />Number of occupied homes having street frontage: G <br />Location: 0.2 I miles N ©E W of the intersection of Route ��� I cy and Route Sr-) 4471 <br />(Circle one) (SR NC or Ur-S^) (SR NC or US) <br />We, the undersigned, being property owners and/or developer of x' Aarrt d ORCSi S/ in <br />C) PI 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) ; tt S.,.A- r <br />, a <br />Name: _ ONJ L. 00NU� Phone Number:�919� <br />Street Address: <br />Mailing Address: <br />PROPERTY OWNERS <br />NAME MAILING ADDRESS TELEPHONE <br />o6✓et-- 6,501 CAP-e 3 - 07�1 <br />