4. INITIAL DETERMINATION REQUEST PAB-0149.PDF
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MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION 2901 W. Durango Street e Phoenix, AZ 85009 Phone: (602) 506-4178 PATENT EASEMENT ABANDONMENT INITIAL DETERFIINATION 4 Contact Information == Applicant Name:__- CLAUAIU_——c OA Ay SEP - 8 2020 | Mailing Address: 2235/2 yy. /02%% Ave | | _ City: PEORIA State: A % Zip: BS 39 3 Phone (60% )- 5! - 2/8 Email: _L/Q/AR COMALE GHAIL. CO? Parcel Detail Assessor's Parcel Number: 20/ - OF - O35¢4 1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix) CAMINO OE O2oO i 402 “9 Ave 2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A) A BAK O04 PRIEMT © ASEMENT ft OK G CAT fRofe&try tree: 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 half OP [3 / (2020 Signature of Applicafit Date “ 7 Maricopa County Use Only PAB Number: Initial Determination Fee*: $250.00 Ce LOC33 Z, niscetvedllilete so G0 Dogon tata ll Total Date Rec'd By! * The Initial Determination fee is NOT refundable. Make checks payable to: MCDOT 2901 West Durango Street Phoenix; 85009. Maricopa County Department of Transportation 2901 W. Durango Street Phoenix, AZ 85009 Permit Receipt Payer Name: Receipt #: 100380 DANIEL ISTRATE / KONTEXTURE LLC Payment Date: 9/8/2020 3334 N 20TH ST Reference #: APN 201-08-035A PHOENIX , Arizona 85016 Receipt Type: Patent Easements Payment Items PATENT EASEMENT ABANDONMENT INITIAL ‘Credit Card 3788724651 $250.00. DETERMINATION // CLAUDIA COMAN Total: $250.00 Payment Receipt Page | of 1 Maricopa County a HS? ORTATION Yepartinent of transportation _~—— MCDOT Permits Thank you for your payment. Please print this receipt and keep it for your records. Clerk ID : BPEREZ DANIEL ISTRATE // Customer Name : KONTEXTURE LLC Reference Number : APN 201-08-035A Product Description Payment Amount Palent Easements 1 j $250.00 Payment Amount: $250.00 Recolpt Number: 3788724651 Transactlon Date: 09/08/2020 02:49 PM Payment Type: [VISA Account Number: *8884 | agree to pay this obligation according to the terms outlined in my agreement wilh my card Issuer, https://paydirect.link2gov.com/MCDOTPERMITSVT/Receipt/SuccessfulPay, 9/8/2020 ..