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11 <br /> North Carolina Department of Transportation <br /> Division of Highways <br /> Petition for Road Addition <br /> ROADWAY INFORMATION: (Please Pdntrrype) <br /> County: iQ 2- ti G Road Name: S A F <br /> (Please list additional street names and lengths on the back of this form.) <br /> Subdivision Name: J- Length (miles): 0, 055 MI <br /> Number of occupied homes having street frontage: Location 0, '� <br /> miles miles N ❑S ❑ E ❑ W❑ of the intersection of Route and Routs; '7 <br /> (Check one) (SR,NC,US) (SR,NC,US) <br /> We, the undersigned, being property owners and/or developers of y 6-p— &� 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 Printrrype) <br /> CI E�08zf <br /> Name: e, Phone Number: �-� ca <br /> Street Address: foo'i _ <br /> Mailing Address: {� �5 <br /> PROPERTY OWNERS <br /> Name Mailing Address Telephone <br /> Form SR-1 (112001) <br />