4. INITIAL DETERMINATION REQUEST PAB-0197.PDF

MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION
2901 W. Durango Street « Phoenix, AZ 85009
Phone: (602) 506-4178

PATENT EASEMENT ABANDONMENT INITIAL DETERMINATION

Applicant Name: Alex Perez

Mailing Address: 26799 N. 97th Lane
City; Peoria State: AZ Zip: 89383

Phone (602_) - 501 - 5058 Email: alex@apcontractinginc.com

Assessor's Parcel Number: 291 - 08 - 046F

1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix)

10023 W. Mariposa Grande, Peoria, AZ 85383

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

Abandon easement bordering north and west side of parcel 201-08-046F.

3. Access Certification:

I certify, under penalty of perjury, that no loss of currently existing fegal and physical access to any property
will occur if the County grants the patent easement abandonment requested in this initial determination,

— —z 2/1/22
Signature of Applicant Date

PAB Number: AP 701 - Of -0UL FE
Initial Determination Fee*: $250.00

Check #:_5 4 9 Total Received: A 250,00 pate: {2 ZL Rec'd By: Ce

* 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 #: 100917
ALEX PEREZ Payment Date: 2/2/2022
MIRNA PEREZ

26799 N 97TH LN Reference #: APN 201-08-046F
PEORIA, Arizona 85383 Receipt Type: Patent Easements
Payment Items

Description Payment Type Transaction # Amount
PATENT EASMENTS // APN 201-08-046F // 1X $250.00 = |Check 1535 $250.00

$250.00
Total: $250.00