4. INITIAL DETERMINATION REQUEST PAB-0150.PDF

MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION
2901 W. Durango Street © Phoenix, AZ 85009
Phone: (602) 506-4178
PATENT EASEMENT ABANDONMENT INITIAL DETERMINATION
Applicant Name: 5 iw Tt Su € ton
Mailing Address: P.O. Boy 2¢66 %
city: Seotlsetale state AZ zip:_ gs ass
Phone (623 )- S333 - /60¢ Email: See7tolds 7 @ qma.l,com
(a)
Assessor's Parcel Number: 2/6 -5¢ ~. 7/36 A
1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix)
52°22 Ww. 67th st,
Cave OCrzz Kk AZ oS 5S3/
2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A)
Abswasl oa Easement borderjag lic South side
O€ Parcel 214-50 - /3¢ A except the east 33 feet
JM, revised 9/22/20
3. Access Certification:
I certify, under penalty of perjury, that no loss of currently existing legal and physical access to
will occur if the County grants the patent easement abandonment requested in this initial any property
determination,
aE
| Saceiiaeds pallens ee Signature
|
9/15 [(Z020
Signature of Applicant
Date
PAB Number: @
Initial Determination Fee*: $250.00 Vo
Heleteee, hci tne, -
Total receives: 4-277 si Date: px
By:
* The Initial Determination fee is NOT refundable, Make checks payable to: MCDOT 2901 West Durango Street AZ
85009. Phoenix,

Sign ed receipt. —
records.
your
for
it
keep 1
payment. and
SUTTON
receipt T SCOTT 216-50-186A,
Permits your this BPEREZ APN
for :
Receipt you print Name: Number Easements
MCDOT Thank Please ID: Customer Reference
Clerk Patenl
Payment

Maricopa County Department of Transportation
2901 W. Durango Street Phoenix, AZ 85009
Permit Receipt
Payer Name: Receipt #: 100395
SCOTT T SUTTON Payment Date: 9/24/2020
PO BOX 28668 Reference #: APN 216-50-186A
Payment Items
SCID
PATENT EASEMENT ABANDONMENT INITIAL Credit Card 3789631420 $250.00
DETERMINATION // SCOTT SUTTON
Total: $250.00