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RriCEIVED <br /> North Carolina Department of Transportation <br /> 01 . ,ltq Division of Highways <br /> Petition for Road Addition <br /> N.G•Dept.of Transpnrtatlorl <br /> Dlvision Of Highways-7th Div. <br /> District 1-Graham <br /> RQADWAY INFORMATION: (Please Printrrype) <br /> RI'VE-A sToNE RoyA <br /> County: (O(ti,>GjU69' Road Name: IR UA AI& OFDA LA-NC <br /> (Please list additional street names and lengths on the back of this form.) <br /> Subdivision Name: CA69 C9V 't f G Length (miles): <br /> Number of occupied homes having street frontage: $ Located (miies): 23 <br /> miles N ❑S ❑ E ❑ W x <br /> of the intersection of Route f �'70 and Route <br /> (Check one) (SR,NC,US) (SR,NC,US) <br /> We, the undersigned, being property owners and/or developers of G'ME' (2 t os5 j / & in <br /> —�A�} r�- County, do hereby request the Division of Highways to add the above described roeld. <br /> CONTACT PERSON: Name and Address of First Petitioner.(Please Print/Type) <br /> 13RA^g6" P"Twek5 ht <br /> Name: _B0 T3 759AIM ^�T Phone Number: 93 4 -A'I f` �(777 <br /> Street Address: , awt o 4A-9- ✓���� ✓`�tr I��- �7 3 0 <br /> Mailing Address: <br /> 5A-pa E— <br /> PROPERTY OWNERS <br /> Name Mailing Address Telephone <br /> OCI <br /> 2 20i9 <br /> e t.of Transportatlon <br /> n(v(slon of Highways, <br /> �stsict i_Greham <br /> Form SR-1 (3/2006; Rev 1/2010) <br />