4. INITIAL DETERMINATION REQUEST PAB-0187.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 Contact Information Applicant Name: Jason Thibodeau Mailing Address: 6540 E. Ocupado Dr. City: Cave Creek State: Arizona Zip: 85331 Phone (480 _)- 369 - 4761 Email: jase890@gmail.com Parcel Detail Assessor's Parcel Number: 216-50 - O21E 1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix) 6540 E. Ocupado Dr. Cave Creek AZ. 85331 2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A) Abandon Patent easement bordering Eastern and Southern side of parcel 216-50-021E 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 Jason Thibodeau Date: 2021 1008 1:31098 0700" 10-04-2021 Signature of Applicant Date Maricopa County Use Only PAB Number: Initial Determination Fee*: $250.00 ck 9: 2815 HUBS" Total received gee a Date: [o/ o/z\ Rec'd By: (ia * The Initial Determination fee is NOT refundable. Make checks payable to: MCDOT 2901 West Durango Street Phoenix, AZ 85009. Sx > Maricopa County Department of Transportation Fg y p 4 ae ' 2901 W. Durango Street Phoenix, AZ 85009 Permit Receipt Payer Name: JASON P THIBODEAU 6540 E OCUPADO DR CAVE CREEK , Arizona 85331 Payment Items Description PATENT EASEMENTS // APN 216-50-021E // 1 X $250.00 = $250.00 Receipt #: 100776 Payment Date: 10/6/2021 Reference #: APN 216-50-021E Receipt Type: Patent Easements Payment Type Transaction # Amount Credit Card 3815448575 $250.00 Total: $250.00 oo ew Se ranerontarrot. ———— MCDOT Permits Cy CDOT Thank you for your payment. Please print this receipt and keep it for Maricopa Gaunty your records, Heparinent of Transportation Clerk ID: RHODESC, Customer Name: JASON P THIBQDEAU Reference Number : APN 216-50-021E Product Description Payment Amount Patent Easements 1 $250.00 Payment Amount: $250.00 ReceiptNumber: 3815448575 Transaction Date: 10/06/2021 09:36 AM Payment Type: Account Number: VISA *6597 |_ 7 ligation according to the terms outlined i my agreement with my card issuer.