4. INITIAL DETERMINATION REQUEST PAB-0143.PDF
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MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION 2901 W, Durango Street e Phoenix, AZ 85009 ai Phone: (602) 506-4178 Coy PATENT EASEMENT ABANDONMENT INITIAL DETERMINATION ae (ae _° ContactInformation Pa TJ. Ste Applicant Name: vt LA vf x AITS0S il yh A\e_ Mailing Address: Pho-eniws State: A2_ Zip: %CO8S Phone ((42 2) Email: © She Loar tstewart444.rs@gmail.com ee [Ras Parcel Detail hi] aise sea a _____ 210. lo Assessor's Parcel Number: OSH Ki | ‘yo = 3 200 | * 1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix) | | a q6s05 NM. (7% avenue _ a | mcveceae 2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A) A badder uti lite CISC Nye wt Or, east side of Caw e 21D = JS CO ISA north, west, and east sides Revised, JM 8/6/20 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. . | gem A, Sinies Signature of — are Appli€ant [tk ee Maricopa County Use Only ass ae ae EL bie | See PAB Number: Initial Determination Fee*: $250.00 Check #: 4 935 12690 Total Receivef LD. Date: Z Ate Rec'd By: ial | eecepyet /L0ALR — * 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 #: 100343 TRESA D ALESSANDOR Payment Date: 8/6/2020 25505 N 17TH AVE Reference #: APN 210-10-018A PHOENIX , Arizona 85085 Receipt Type: Patent Easements Payment Items PATENT EASEMENT ABANDONMENT INITIAL ‘Check 9043517590 $250.00 DETERMINATION // ROBERT J STEWART | Total: $250.00