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MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION 2901 W. Durango Street e Phoenix, AZ 85009 ay Phone: (602) 506-4178 _ \ , ~ EASEMENT \ PATENT ABANDONMENT APPLICATION \ [i 2NS ee = ContactInformation | == a eee Applicant Se Gu. ti vs Test) PAB Number: _ 2 7S O Mailing Address: 82. Box. 26ER City: Seeds de Ic State: AZ Zip:_ & 5S 25S Phone (623 )- 532 - /60¢ Email: 5 ce // @ fo Petty dels Lc appt wee ies iS. See to eS Rarcell Detalles. ee Assessor's Parcel Number: 27/4 - 50 - /86 4 1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix) 82922 WwW 67t° St. Caucrlvezk A2 88550 2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A) Abandern Easement S. 33' except <, 10' aad execpt E, 33! 3. Applicant is REQUIRED 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. for I, _ Store Sutton attest 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: Tob 13,2003 Q6 dayof_ November 20.20 a Mumyromenansats Cece ye E Maricopa County Big Commission # 561913 = . ri omy Comm. Expires Feb 13, 2023 Notary Public oe Rtn War ane Signature = _ Trustee (Br See Hl Eg uc tis Teast] All [Z0. [4 Signaturé of Applicant Daté bo Maricopa County Use Only Application Fee*: $1,600 , Check #:..7 LEZ Total Received LB 5D. 00 Date: LiHW-20 29 Rec'd py ek *Application Fee will be $1,350 ($1,600 less $250) if Initial Determination letter is provided; demonstrating an initial 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 Permit Receipt Payer Name: Receipt #: 100441 SCOTT SUTTON Payment Date: 41/16/2020 PO BOX 28668 Reference #: PAB 0150 / APN 216-50- SCOTTSDALE , Arizona 85255-8525 186A Receipt Type: Patent Easements Payment Items PATENT EASEMENT ABANDONMENT / SCOTT SUTTON |Check 2496 | $1,350.00 | Total: $1,350.00