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7 <br /> North Carolina Department of Transportation <br /> Division of Highways <br /> Petition for Road Addition <br /> ROADWAY INFORMATION: (Please Print(Type) <br /> Count - C/Yr��? Road Name: �t D -e <br /> y (Please list addt(ional street names and lengths on the back of this form.) <br /> �t-� ke"P <br /> Subdivision Name: Y It' <br /> Length (miles): o <br /> Number of occupied homes having street frontage: - Located (macs): + <br /> miles NXS [:] E ❑ W ❑ of the intersection of Route �// and Route <br /> (Check one) (5 NC,U5) 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: i C � '�r Cc:ham Phone Number: <br /> Street Address: r ` <br /> Mailing Address: CrGS, S f/S� �����; ; ��� l�! � :P�,� �� � o� 7�1 j� <br /> PROPERTY OWNERS <br /> Name Mailing Address Telephone <br /> `j7elj, r �r�nnr'15 d-2 Ki11 -1 �t701 �/l��i��c��1 G1�:�fJ-f!'�l�vC �7�1 1719-V7 -�'�'/l� <br /> gvlee <br /> /I ACr 727 LA6� <br /> 2- <br /> �dh. I`�t�lr'r �c/;15� �� ( /1).'rGfL f�C✓] 1�� ��il� I A)1 15 -7 I"f <br /> ,/b <br /> �� �d �'� �itr� a+rr , ✓�� arrs�Cvf� 1 101 t1, /A11 AC d 7-01/ <br /> Ic b, ,d11Jy, 175 eo, 9-W Pr 01M,it /41( 12-NN <br /> fli P/�r:ny�' 3., "�t �}(t9/ t'✓ Ir� !� (jt�/Pf� I`I!'r Olt <br /> Form SR-1 (3/2006; Rev 1/2010) <br />