1. APPLICATION PAB-0200.PDF

Maricopa County — Formal (2022-06-22)

View PDF Item 120 Meeting page

Extracted text (via pymupdf) 2228 characters
g+11  day of 	
r L 
	, 20 az- 
Signature _ 
Notary Public 
.,A' 
I 
Signatu 7' 7 pp ca fr 
PAM STEVENSON 
Way Public • Rate ofArizons 
MAR1COPA COUNTY 
Commission *603515 
Expires May 16, 2025 
4-6-2022 
Date 
MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION 
2901 W. Durango Street • Phoenix, AZ 85009 
Phone: (602) 506-4178 
PATENT EASEMENT ABANDONMENT APPLICATION 
C 
Applicant Name: Clinton Johnson 
 
2 
Mailing Address: 26012 N 15th aye  
City: Phoenix 	
State: AZ 
	
zip: 85085 
Phone (  602 ) - 802 	
_ 6011 
Email: Tboys98@gmail.com 
Assessor's Parcel Number: 210 	
11 	
013C 
1. 
Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix) 
26012 N 15th aye, Phoenix, AZ 85085 
2. 
Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A) 
Abandon Patent easement bordering all side of parcel # 210 -11- 013C 
3. 
Applicant is REQUIRED to be the current owner of the described property. A copy of your property deed 
must be attached to the application. 
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 
4. 
If you have a mortgage, deed of trust, upon your property you are REQUIRE, 	
_ 	
_ 
lender approving your request to abandon a patent easement. Applications submitted without lender approval 
will not be processed. If you don't have a mortgage or deed of trust on the subject property, you will need 
to sign, before a notary, the affidavit below attesting to that status. 
/ 
/!•i
* 	st that I own the subject property and that 	it is not encumbered by 
mortgage or deed • trust. 
Subscribed and sworn to before me this 	
My Commission Expires: 
PAB Number: 
Application Fee*: $1,600 
Check #:166  
Total Received: 1350 
Date: 4/6/22 
*Application Fee will be $1,350 ($1,600 less $250) if Initial Determination letter is provided; 
of the parcel was conducted by the County within the last six months. The application fee is NOT refunaaoie. Make checks 
payable to: MCDOT 2901 West Durango Street Phoenix, AZ 85009. 
except the S25' of the E 
and S Patent Easements
JB, Revised 
4/12/22 per 
applicant

Refer to previous sheet