4. INITIAL DETERMINATION REQUEST PAB-0153.PDF

MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION
2901 W. Durango Street e Phoenix, AZ 85009
Phone: (602) 506-4178
PATENT EASEMENT ABANDONMENT INITIAL DETERMINATION
Contact Information
Edens —_ DA: MES WHATLEY
M ai ress: Z58 Sy Al,_/ 9th Ave.
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City: HY, Y) AUK State: LYM BoM Zip: 55 ofS
_
Phone (760)-297_ - 537 Email: A/V fey fool @ aol. 6071.
_
Parcel Datail
Assessor's Parcel Number: 2/0_- // . O/C
1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix)
25839 N19 Ave. reas
,
2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A)
SA banda Easements forceryng both the South ste
ane phe Fast sit? al parcel’ B10: 1-001 C
3. Access Certification:
I certify, under penalty of perjury, that no loss of currently existing legal and physical access lo any property
will occur if the County grants the patent easement abandonment requested in this initial detennination,
SS FE Seo Signature
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Bipnature Tinie a “Date -
Maricopa County Use Only
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PAB Number;
Initia] Determination Fee*; $250.00
du w 34% n't (, 555 Total neva 150 pate; “Apdo
IL-4 ayy:
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* The Initral Determination fee is NOT refundable, Make checks payable to: MCDOT 2901 West Durango Street Phoenty, AZ
85009,

Maricopa County Department of Transportation
2901 W. Durango Street Phoenix, AZ 85009
Permit Receipt
Payer Name: Receipt #: 100445
JAMES WHATELY Payment Date: 11/19/2020
25839 N 19TH AVE Reference #: APN: 210-11-001C
PHOENIX, Arizona 85085 Patent Easements
Receipt Type:
Payment Items
|APN: 210-11-001C Credit Card 3793276555 $250.00
Total: $250.00

_Pay ment Amount
-
Oe Zoo. con! AC DOT PERMITS 1/19/2020

Payment Receipt Page 1 of 1
+
Maricopa County
a Tansportsllan
mansronTarIOn Department of
MCDOT Permits
Thank you for your payment.
Please print this receipt and keep it for your records.
Clerk ID: A. RAMIREZ
Customer Name: JAMES WHATLEY
Reference Number : APN 210-11-001C
Product Description Payment Amount
Patent Easements 1 $250.00
Payment Amount: $250.00
Receipt Number: 3793276555
Transaction Date: 11/19/2020 02:13 PM
ccount Number: *1156
ng to the terms outlined in my agreement wi
https://paydirect.link2gov.com/MCDOTPERMITSVT/Receipt/SuccessfulP... 11/19/2020