4. INITIAL DETERMINATION PAB-0221.PDF

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

Note: Completed forms may be submitted to MCOOTPlanning@Maricopa.qoy or mailed to th Office.
Incomplete applications may result in delay of review. (o;" ey
Contact Information 4 Y
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Applicant Name: __/ ate LOL Alum 2 ihlor_ c- Noy
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° Mailing Address: /b>&G &. Glen haver fIripe
City: PA pent Se Stave: 41 zip: FSO fox
“phone (22)- 25° - SOS? Email: “Cee oie d vt <5 gener. Corer

Poxcel Datall

” Assessor's Parcel Number: AIG - 1 4y - Baye
‘i. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix)

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2o3sp AM 2 Streef Shown! MY Jee BSPES

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

Abandon Easement on the Fast side of

7 weel BAI {f~ COVE.

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.

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Signature of Wh Rte
oh Maricopa County Use Gniy \ A
‘PAB Number: eo

Initial Determination Fae: $250.00

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check #7: 334S_ Total Received: AO.” Date: x 4 Jax Rec'd By: C =

* * The Initial Determination fee is NOT refundable. Make checks payable to: MCDOT 2901, West Durango Street Phoenix, AZ
85009. :

Signature

Payer Name:

IPSO LLC

11424 E Sand Hills Dr
Scottsdale, Arizona 85225-5615

APN 210-14-004E

Maricopa County Department of Transportation
2901 W. Durango Street, Phoenix, AZ 85009

Receipt
Receipt #: 101125
Payment Date: 8/31/2022
Receipt Type: Patent Easements
Reference #: Patent Easement Initial Determination APN 210-
14-004E
Check | 3845 $250.00

Total: $250.00