1. APPLICATION PAB-0165.PDF

Maricopa County — Formal (2021-06-23)

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MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION
2901 W. Durango Street e Phoenix, AZ 85009
Phone: (602) 506-4178
PATENT EASEMENT ABANDONMENT APPLICATION
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George I Bochis PAB-0165
Applicant Name: PAB Number:
6894 W EL CORTEZ PL
Mailing Address:
Peoria Arizona 85383
City: State: Zip;
(773 931 9198 Email: george2pak@yahoo.com
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Assessor's Parcel Number: - - }
1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix)
Quartz Rock Rd & 15th LN, Phoenix,AZ
2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A)
Abondon the W 33' easement.The S 8' from N side & the W 8' from E side of property.
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.
1,44 CLGE G0 tf ( ¢ attest that I own the subject property and that it is not encumbered by
mortgage or deed of trust.
GISSELLE ISLABA
Subscribed and sworn to before me this My Commission Expires: Notary Public - Arizona
+4 . MARICOPA COUNTY
q day of frPN \ 20.2 Commission # 554861
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Expires August 30, 2022
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en Notary Public
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5 Signature Sic a
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Sarnpe #26 “fl Ue BOE
Signature of Applicant Date
| Pe . _ Maricopa County Use Only es
| Application Fee*: $1,600 ‘
#3 Total Received: F/AD-L2 Date: behind =e) Rec'd By: Fes
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*Application Fee will be ($1,600 less $250) if Initial Determination letter is provided; demonstrating an initial revie
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 #: 100595
GEORGE | BOCHIS Payment Date: 4/16/2021
6894 W EL CORTEZ PL Reference #: | PAB 0165/ APN 210-11-
023E
PEORIA, Arizona 85383
Receipt Type: Patent Easements
Payment Items
Description Payment Type Transaction # Amount
PATENT EASEMENT ABANDONMENT - PAB 0165 - Check ‘427 $1,350.00
GEORGE | BOCHIS
Total: $1,350.00