2023-05-25_4-PAB-0230-INITIAL-DETERMINATION.PDF
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MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION 2901 W. Durango Street e Phoenix, AZ 85009 Phone: (602) 506-4889 PATENT EASEMENT ABANDONMENT INITIAL DETERMINATION Note: Completed forms may be submitted to MCDOTPlanning@Maricopa.gov or mailed to the MCDOT office. Incomplete applications may result in delay of review. Contact Information Applicant Name: _ bAW/ae (STRATE Mailing Address: 3334 4. 7” Sisk City: POG 47% State: ¢& Zip: __ 7? O76 Phone G29 )- 53> - FU Email: 24WEL. (STRATE @KU JE TUH2E- Cort | Parcel Detail | Assessor's Parcel Number: 2/9 - (2 - o(8F 1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix) YeALLING Aye a ave 2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A) ABAIO ote PAT aT CALE NENT Ow ee wes sroe oF PROPSENY , Stat "SCPE 0 ECR gS = EEE LY 3. Access Certification: 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 initial determination. | : = Signature a — (2-45, COBL Signature of Applicant Date | z Maricopa County Use Only PAB Number: Initial Determination Fee*: $250.00 sn 2» Total Received:42SD.00 Date: SO, LoL. Rec'd a * The Initial Determination fee is NOT refundable. Make checks payable to: MCDOT 2901 West Durango Street Phoenix, AZ 85009. Maricopa County Department of Transportation 2901 W. Durango Sireet, Phoenix, AZ 85009 Receipt Payer Name: Receipt #: 101220 LUPEA GABRIEL MICHAEL Payment Date: 12/15/2022 15029 N 54TH ST Receipt Type: Patent Easements SCOTTSDALE , Arizona 85254 Reference #: PATENT EASEMENT ABANDONMENT APN 210-12-018F ‘Description Payment Type Transaction # Amount PATENT EASEMENT ABANDONMENT INITIAL Credit Card | 3842013868 $250.00 DETERMINATION / DANIEL ISTRATE Total: $250.00 MCDOT Permits Thank you for your payment. Please print this receipt and keep it for your records. Maricopa County Department of Transportation Clerk ID : BPEREZ Customer Name: GABRIEL LUPEA Reference Number : APN 210-12-018F Product Payment Amount Patent Easements Receipt Number: 3842013868 Transaction Date: 12/15/2022 04:16 PM Payment Type: [visa Acgount Number: *7800 MMA A $250.00 Payment Amount: $250.00 Va i] agnse to/pay this obligation according to the terms outlined in my agreement with my card issuer.