4-INITIAL-DETERMINATION-REQUEST-PAB-0216.PDF

MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION
2901 W. Durango Street e Phoenix, AZ 85009
Phone: (602) 506-4889

PATENT EASEMENT ABANDONMENT INITIAL pean ees
Note: Completed forms may be submitted to ESCH annineaamienrig: gor of wailed te MCQOT office.
Incom plete ap ligenlelt ua

Applicant Name: Davy Voge.

Mailing Address: Po. Box aAABA Bi ——X~%,
City: Sud Gtu state: (> Zip: assta
Phone AD4) -adSB -d1Ssa Email: PACcasy A AOL.com

Assessor's Parcel Number: ao) n al : O1u4A
1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix)

1208 wiTetheeTenil , Roein , Az. 853835

2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A)

Vibaidon “ 33! Feoepa| Osrtett Easematt” Aceoss Sedth Prorhon of Paccel.

2) Abaspon Ap qwst “33 Teoreal Predt Casement Pamess Cast foot of
faece| .

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 of Applican€ * Date ©
PAB Number: &
Initial Determination Fee*: $250.00 y q
, |
o
Check #19107] Total Received: 050- bate: 3 a Le Rec'd By;

* 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 #:
HIGHLAND SPRINGS RANCH Payment Date:
PO BOX 1755 Receipt Type:
YUCAIPA, California 92399 Reference #:
PATENT EASEMENT APN 201-21-014A Check

101105

8/9/2022

Patent Easements
APN 201-21-014A

10107 $250.00
Total: $250.00