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7 <br /> North Carolina Department of Transportation <br /> Division of Highways <br /> Petition for Road,Addition . <br /> ROADWAY IN;FO:RM-ATION: (Please Print/Type) <br /> Coun <br /> ty: �(��., Road Name: <br /> (Please:aist additional street names and lengths on the back of this form.) <br /> ,� <br /> Subdivision Name: _���('.f—� Length (Miles): <br /> Number of occupied homes having street frontage: Located (miles) C); <br /> miles N ❑ S ❑ 'E ® W ❑ of the intersection of Route Z and Route 7-0'2-)2' <br /> (Check one) (SR NC,US) 5 ,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) <br /> Name: N� .f'l�l�. Phone Number: <br /> Street Address: <br /> Mailing Address: <br /> PROPERTY OWNERS <br /> Name Mailing Address Telephone <br /> arm :2)' "3 L l <br /> Form SR-1 (3/2006; Rev 1/2010) <br />