4. INITIAL DETERMINATION REQUEST PAB-0205.PDF

Maricopa County — Formal (2022-11-02)

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PARI ZONAS

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MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION

i kia i 2901 W. Durango Street e Phoenix, AZ 85009
aes Phone: (602) 506-4178
UN

Contact Information
Applicant Name: Mi LHe Cc LRA VE S
Mailing Address: O74 a Van TOM DR. 2
city: CLAVE CREEK state: Z zip: SI 33/ ~~
Phone GD). Hl. MIR x emai: C70 F QUAL 3508 (@ GIMAIL, COP]

Parcel Detail

Assessor's Parcel Number: Ale = G7? = OF VE
1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix)

LUE Mitten DR CAVE Ceeek Az Vs33/

2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A)

Abandon LASEMENT BoeDER wlle THE ZAsT SIDE OF
FaRCEL Alob-b7-OYWE. “TRE Noptt) spe

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 he Date

Maricopa County Use Only

PAB Number:

Initial Determination Fee*: $250.00

Check #: GiL0/ Total received: ASU 0 Date: 4379047 Aareec'd ae
Kettyat (0/000

* The Initial Determination fee is NOT refundable. Make checks payable to: MCDOT 2901 West Durango Street Phoenix, AZ
85009.

Payer Name:

MICHAEL GRAVES / RITA GRAVES
734 RIVERBANK DR

GENEVA , Illinois 60134

Description

PATENT EASEMENT ABANDONMENT INITIAL
DETERMINATION / MICHAEL GRAVES

Receipt

Receipt #:
Payment Date:
Receipt Type:

Maricopa County Department of Transportation
2901 W. Durango Street, Phoenix, AZ 85009

101000
4/13/2022

Patent Easements

Reference #: |©§ PATENT EASEMENT ABANDONMENT APN

Payment Type
Check

216-67-044E
Transaction # Amount
9201) $250.00!

Total: $250.00,