4. INITIAL DETERMINATION REQUEST PAB-0144.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 ae Applicant Name: Michael J Daley Jr | Mailing Address: 47801 N Black Canyon Hwy #87 een tCBOT City: New River AZ State: Zip: 85087 Phone (623 )- 210 ~- 8189 Email: mike@copperheadaz.com Jia ial Deters Seok ee EE Assessor's Parcel Number; 202 -11 ~- O31E 1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix) 47750 North 31st Avenue, New River, AZ 85087 2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A) Abandon 33 foot Easemant on North And South sides of parcel 202-11-031E 3. Access Certification: I certify, under penalty of perjury, that no loss of currently existing legal and physical access to will occur if the County grants the patent easement abandonment any property requested in this initial determination. Signature —— Zo 8/6/2020 Signature of Ajplicant Date __ Maricopa County Use Only PAB Number: Determination Fee*: $250.00 aie - = Wr F e ZO. Total Rsconvesl ae EDC 7 Jedhexy 4 Date: ec'd 6 | * The Initial Determination fee is NOT refundable. Make checks payable to: MCDOT 2901 West Durango Street 85009. Phoenix, AZ Maricopa County Department of Transportation 2901 W. Durango Street Phoenix, AZ 85009 Permit Receipt Payer Name: Receipt #: 100345 MICHAEL J DALEY Payment Date: 8/7/2020 515 E CAREFREE HWY Reference #: APN 202-11-031E PHOENIX , Arizona 85085 Patent Easements Receipt Type: Payment Items ayment Type Transaction # PATENT EASEMENT ABANDONMENT INITIAL Credit Card 3786967711 $250.00. DETERMINATION | | Total: $250.00 Payment Receipt Page | of 1 Maricopa Gounty Separtment of Wansportation MCDOT Permits Thank you for your payment. Please print this receipt and keep it for your records. Clerk ID : BPEREZ MICHAEL J DALEY / cies Giemes COPPERHEAD Reference Number : APN 202-11-031E Product Description Payment Amount Patent Easements 1 $250.00 Payment Amount: $250.00 Receipt Number: 3786967711 Transaction Date: 08/07/2020 03:36 PM Payment Type: [VISA Account Number: *2163 | agree to pay this ob ation according to the terms outlined in my agreement with my card issuer. https://paydirect.link2 gov.com/MCDOTPERMITSVT/Receipt/SuccessfulPay... 8/7/2020