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MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION 2901 W, Durango Street e Phoenix, AZ 85009 Phone: (602) 506-4889 PATENT EASEMENT ABANDONMENT APPLICATION Note: Completed forms may be submitted to MCDOTPlanning@Maricapa,qov or mailed to the MCDOT office. Incomplete applications may result in delay of review. eae i ie alas os =... Contact Information Applicant Name: Patricia Aor Ds tlovs PAB Number: PAB = CAA Malling Address: /629 EF. Glenrhaven reve City: Phoenix State 42 zip: BS oYg Phone (02)- 354 -_ S050 emai: tréciady 3S & gm ail 6 pn Assessor's Parcel Number: AlO-_(Y - OOYE 1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix) 26350 N At” Street, Phoeuis, AZ BF 08 2. Description of Request: (ex: Abandon Easement bordering the South side of parce! 123-45-067A) Akane. t e. fe t Ea, eerent On ~the East side of fof AlO~ IY OOY E. 3. Applicant is RECXRIEW to be the current owner of the described property. A copy of your property deed must be attached to the application. ‘ 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 application. 4. If you have a mortgage, deed of trust, upon your property you are REQUIRED to provide a letter from the lender approving your request to abandon a patent easement. Applications submitted without lender approval will not be processed, If you don't have a mortgage or deed of trust on the subject property, you will need to.sign, before a notary, the affidavit below attesting to that status. pinae Aun vilontes that I own the subject property and that it is not encumbered by mortgage or deed of trust. Subscribed and sworn to before me this My Commission Expires: ( Joa | DXe ITH day or New ber, 20.22 wi Ae actin Frinn Wahtetrorr quassouse@rie, | nnn oo NORRE PHBE, Neer Se a” : tne A. Re Uulit[2a~ Signature of Applicant =~ Date (UT TIE. Marloopa County Use Only Application Fee*: $1,600 Chee ts LALLA Total Received: #/352- 20 Date: ir 4022 Rec'd By: Bo_) *Application Fee will be $1,350 ($1,600 less $250) if Initial Determination letter ls provided; demonstrating an Initial review of the parcel was conducted by the County within the last six months. The application 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 #: 101196 IPSO LLC Payment Date: 11/28/2022 11424 E SAND HILLS RD Receipt Type: Patent Easements SCOTTSDALE , Arizona 85255-5615 Reference #: PATENT EASEMENT ABANDONMENT PAB 0221 ‘Description Payment Type Transaction # Amount PATENT EASEMENT ABANDONMENT // PAB 0221 // PATRICIA | Check 3854) $1,350.00, | | ANN DILLON | Total:| $1,350.00,