2023-05-25_1-PAB-0220-APPLICATION.PDF
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TION MARICOPA COUNTY DEPARTMENT OF TRANSPORTA 509 ix, AZ treet « Phoenix, A 2901 W. Durango Str phone: (602) 506-4889 PATENT EASEMENT ABANDONMENT APPLICATION Note: Completed forms may be submitted to MCOOTPlanning@Maricopa.gov or mailed to the MCDOT office. Incomplete applications May result in delay of review, | Contact Information Applicant Name: ay PAB Number: 00-20 Mailing Address: City: “Proeix State: AyZ. Zip: 8508S Phone ((002)- 31Q - 8449 Email: olay @ Tevarclaz., cow), | : Parcel Detail Assessor's Parcel Number: 2\0_ - 01 -0asB 1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix) WeOG W. Park View Lin, Phoenix, AZ 8508S 2. Description of Request: Aroandon eget (ex: Abandon Easement bordering the South side of parcel 123-45-067A) “Patent Casement in ts ence + 8' of the weet _ pareny Casement Applicant is REQUIRED to be the Current owner of the described Property. A copy of your property deed must be attached to the application. 3. I certify, under penalty of perjury, that no loss of currently existing legal and physical access to any property will occur if the County grants the patent easement abandonment requested in this application. 4. If youhavea Mortgage, deed of trust, upon your Property you are REQUIRED to provide a letter from the lender approving your request to abandon a patent easement, Applications submitted without lender approval will not be processed. If you don’t have a mortgage or deed of trust on the subject Property, you will need to sign, before a notary, the affidavit below attesting to that status, Dan Anielic attest that I own the subject property and that it is not encumbered by mortgage or deed of trust. Subscribed and sworn to before me this pat eee i 20.2.3 Notary Public ‘4 Loe Signature ) - 5 Signature of Applicant Date Notary Public - State of Arizona MARICOPA COUNTY Commission # 597264 Expwes December 28, 2024 t Maricopa County Use Only Application Fee*: $1,600 am. Check #: , Total Received: Date: Rec'd By: icati i if Initi inati ided; it initial review *Application Fee will be $1,350 ($1,600 less $250) if Initial Determination letter is provided; demonstrating an initial of the parcel was conducted by the County within the last six months. The application fee is NOT refundable. Make checks payable to: MCDOT 2901 West Durango Street Phoenix, AZ 85009. Maricopa County Deparimeni of Transportation 2901 W. Durango Street, Phoenix, AZ 85009 Receipt Payer Name: Receipt #: 101315 A RAMIREZ / RAMIREZ ARCHITECT LNC Payment Date: 4/15/2023 2020 N CENTRAL AVE STE 120 Receipt Type: Patent Easements PHOENIX, Arizona 85004 Reference #: PATENT EASEMENT ABANDONMENT APN 210-07-025B Description _ Payment Type Transaction # Amount PATENT EASEMENT ABANDONMENT // APN 210-07-025B//A | CreditCard | 3848625892 $1,350.00 RAMIREZ | | | Total:, $1,350.00) Maricopa County ITRANSPORTATION Department of Transportation MCDOT Permits Thank you for your payment. Please print this receipt and keep it for your records. Clerk ID: LJACOBSNO ARAMIREZ / RAMIREZ c : ustome: Name ARCHITECT INC Reference Number : APN 210-07-025B Product Description Payment Amount Abandonments 1 $1,350.00 Payment Amount: $1 350.00 Receipt Number: 3848625892 Transaction Date: 04/05/2023 01:57 PM Payment Type: x i] agrés% pay | this obligation according to the terms outlined in my agreement with my card issuer.