2023-04-18_4-PAB-0217-INITIAL-DETERMINATION-REQUEST.PDF
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MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION ARIZONA i) tesa tll 2901 W. Durango Street e Phoenix, AZ 85009 Or has y Phone: (602) 506-4889 uns, PATENT EASEMENT ABANDONMENT INITIAL DETERMINATION Note: Completed forms may be submitted to MCDOTPlanning@Maricopa.gov or mailed to the MCDOT office. Jncom, plete applications may result in delay of review. Applicant Name: Bran OW” Mee Aa Mailing Address: 120 \g w Dos hos dive City: Su, iky State: AZ Zip: % 5375 Phone (023 )- Si - TANS Email: Wockottdktead OYalre ~ Com Assessor's Parcel Number: 2.0\ - LL - 0276 1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix) ZA Te west WH Ave + | 2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A) Movidon osement along we vide of powte| 20l-22- 0298 Aboud Casemon\ dlovia’ Nolthy side oF Parcel 2ol-22- 0296 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 Applicant Date PAB Number: Tnitial Determination Fee*: $250.00 De ale 1 2 Total ReceiveW22 5S?’ - oe? pate Step: 202 Dred on i * 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 Street, Phoenix, AZ 85009 Receipt Payer Name: Receipt #: 101113 BRANDON J MACKEY Payment Date: 8/15/2022 12018 W DOS RIOS DRIVE Receipt Type: Patent Easements SUN CITY , Arizona 85373 Reference #: APN 201-22-028B PATENT EASEMENT Description Payment Type Transaction # Amount PATENT EASEMENT ABANDONMENT INITIAL Credit Card 3834500928 | $250.00 DETERMINATION / BRANDON MACKEY | Total: $250.00 * svete MCDOT Permits Thank you for your payinent. Please print this receipt and kegp it for your records, Clerk ID BPEREZ Gustomer Name: BRANDON J MACKEY Reference Number: APN 201-22-0268 Daseription ; _Paymeiit Amotint 4 $280.00 PaymontAmount? $250,00 Reselpt Nuniber: 3834600928 Transaction Dato: 08/16/2022.03:20 PM Payment ‘Type: Account Nuny phe to pay thls obligation accordirig to the terms oullined tn my agreensent with wiy card Issuer,