Petition For Road Addition
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1
2NORTH CAROLINA DEPARTMENT OF TRANSPORTATION
PETITION FOR ROAD ADDITION
FORM SR-1 REVISED 1-9
ROADWAY INFORMATION: (Please Print)
County:
Road Name: _________________________________________________________
New Hanover
(Please l ist additio nal street n ames a nd length s on the ba ck of this for m.)
Subdivision Name: ______________________________________________ Length (miles): _____________________
Number of occupied homes having street frontage: ___________________
Location: __________ miles N S E W of the intersection of Route ________________ and Route _______________
(Circle one)
(SR. NC or US)
(SR. NC or US)
We, the undersigned, being property owners and or/developer of __________________________________________ in
New Hanover
County, do hereby request the Division of Highways to add the above described road.
CONTACT PERSON: Name and Address of First Petitioner. (Please Print)
Name: _____________________________________________________ Phone Number: ______________________
Street Address: __________________________________________________________________________________
Mailing Address: _________________________________________________________________________________
PROPERTY OWNERS
NAME
MAILING ADDRESS
TELEPHONE
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
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