Form Center

2. 
3. Application For Street Maintenance Acceptance
5. I hereby certify, as the owner, that to the best of my knowledge the improvements in the *
   Enter name of subdivision
7. subdivision have been constructed in accordance with the preliminary plan and are shown on a record map filed in the Mecklenburg County Register of Deeds Office. All work conforms to the construction standards of the Town of Huntersville Subdivision Ordinance and the Town's Street Acceptance Policy.
9. I, therefore, request that the Town of Huntersville consider the following streets in the *
   Enter name of subdivision
11. subdivision for maintenance acceptance. I understand that acceptance of said streets shall be made only by the Huntersville Board of Commissioners in accordance with the Town's Street Acceptance Policy.
13. Street Name
14. To
15. From
16. Approx. Length (ft)
63. (Attach additional pages if necessary.)
65. Signature of Owner
66. Date
68. Address
70. City
71. State
72. Zip Code
74. Phone Number
Leave This Blank:


75. Print Only

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