4. INITIAL DETERMINATION REQUEST PAB-0131.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 DETERMINATION ick Vora). nN , A Applicant Name: M ) A 210% N ( le St Mailing Address: city: Cave (Creele state: /\ zip: OO 33 | Phone (002) - 4&4+- $22!) Email: iL Macht SAS Ga wali 2A. yu. ONG Assessor's Parcel Number: 1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix) I Zaloe N Gi St, Care Cnve by Sp ™S —- a “Ss LL 2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A) Abandon Easement orden the Udest side oft ZU- YY-OPER KJ parcel 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. PAB Number: Initial Determination Fee*: $250.00 ete #: 4 LAA IHO Total Received? Der? pate: _DdI-2.a20 rec By: (CoN we * 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 #: 100212 MICHELLE WALL Payment Date: 3/11/2020 29103 N 61ST ST Reference #: APN: 211-44-088B Payment Items APN: 211-44-088B Credit Card 3777449140 $250.00 Total: $250.00 Thank you for your payment. Please print this receipt and keep It for your records. Ctatk ID: ARAMIREZ Customer Name; MICHELLE WALL Reforenoa Number : APN; 241-44-0888 Product Description Payment Amount Patent Easemanis 4 $260.00 PoymentAmount $250.00 RocolptNumber: 3777449140 Transaction Deto: 93/11/2020 04.09 PM Payinant Typo: [wisal Account Number ‘8431 hitps://paydirect.link2gov.com/MCDOTPERMITSVT/Receipt/SuccessfulPa... 3/11/2020