2023-05-25_4-INITIAL-DETERMINATION-PAB-0224.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. _ : : ee Contact Information (ay Applicant Name: Lée, Vm By ee ¢ oY, A 1S Te D Mailing Address: 77 Se i LW. Gro OE City: Fh rae Dk oad Vea state AZ am Xs CS Phone bMA)- 2E7- LLOQ) Email: _ hh ATS @ hope chun ch -%7E ee ee ene] | es Parcel/Detail” Assessor's Parcel Number: 2/2 -_//_- AZ; i 1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix) 6 <2 Ss LL LIKES Aa Feh. M22 ese Ls 2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A) Abaley Laser meVT bo KMS, the E757 ~ rs 2 Z Zo OOKA ste Ar EA —/0 -1/— dS 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. | : Signatur : CZ, ——— GALI D2 Signature of Appli€ant Date fo MaricopaCountyUse Only | PAB Number: Initial Determination Fee*: $250.00 Chgck # 5o14 . Total Received BASO-CO pate: 14 See 202 Rec eo * The Initial Determination fee is NOT refundable. Make checks payable to: MCDOT 2901 West Durango Street Phoenix, AZ 85009. Payer Name: HOPE CHURCH / CHRIS TOWNSEND 26525 N 19TH AVE PHOENIX , Arizona 85085 Description PATENT EASEMENT ABANDONMENT INITIAL DETERMINATION Receipt Receipt #: Payment Date: Receipt Type: Reference #: Payment Type Check Maricopa County Depariment of Transportation 2901 W. Durango Street, Phoenix, AZ 85009 101143 9/19/2022 Patent Easements APN 210-11-025F Transaction # Amount 5519 $250.00 Total: $250.00