4. INITIAL DETERMINATION REQUEST PAB-0161.PDF
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ata ae MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION fr H) bar | \ 2901 W. Durango Street e Phoenix, AZ 85009 ie. Phone: (602) 506-4178 -O UNS PATENT EASEMENT ABANDONMENT INITIAL DETERMINATION Contact Information applicant uy ul 3 & im. ([' 6 , 22/4 Name: 25913 MN. [7h Aye Mailing Address: A hone State: Al zip: GIO FS_ City: (605) 56 / -b nN! Simi U/ Real Estate f/ yal Phone - Email: nm ie Parcel Detail avg Assessor's Parcel Number: 210-11 - 011D 1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix) Property Address: 25813 N 17th Ave, Phoenix, AZ 85085 2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A) Abandon the 33' wide patent easement along the east side of parcel 210-11-011D. 3. Access Certification: 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 initial determination. — Signature of Applican Date : [ Maricopa County Use Only ™) ; PAB Number: Initial Determination Fee*: $250.00 oO Check #: 1001 Font Total Received:_oL NO Date: | (4-4 Rec’d By: deny * The Initial Determination 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 #: 100498 CALIFORNIA MUSCLE CARS LLC Payment Date: 1/19/2021 25813 N 17TH AVE Reference #: APN: 210-11-011D PHX, Arizona 85085 Receipt Type: Abandonments Payment Items Jescription Payment Type Transaction APN: 210-11-011D Check CK: 1004 | $250.00 Total: $250.00