North Carolina Department Of Transportation - Orange County Nc
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1
2North Carolina Department of Transportation
Division of Highways
Petition for Road Addition
ROADWAY INFORMATION:
(Please Print/Type)
County:
Road Name:
(Please list additional street names and lengths on the back of this form.)
Subdivision Name:
Length
:
(miles)
Number of occupied homes having street frontage:
Located
:
(miles)
miles N
S
E
W
of the intersection of Route
and Route
.
(Check one)
(SR, NC, US)
(SR, NC, US)
We, the undersigned, being property owners and/or developers of
in
County, do hereby request the Division of Highways to add the above described road.
CONTACT PERSON:
Name and Address of First Petitioner. (Please Print/Type)
:
Phone Number:
Name
:
Street Address
Mailing Address
:
P
O
ROPERTY
WNERS
Name
Mailing Address
Telephone
Form SR-1 (3/2006; Rev 1/2010)
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