4. INITIAL DETERMINATION REQUEST PAB-0186.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: David Dablemont Mailing Address: 45914 N. 37th Ave City: New River State: AZ Zip: 85087 Phone (480 _)-544 —-- 0516 Email: daviddablemont@qmial.com Parcel Detail Assessor's Parcel Number: 202-1 - - 1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix) 45914 N. 37th Ave, New River, AZ. 85087 2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A) Abondon easement bordering the West side of parcel 202-13-021B 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. A af KATES. _ /® ~ [- 202 Sigdature of Appjicant”~ Date Maricopa County Use Only PAB Number: Z.0°2 -'9- OC! 6 Initial Determination Fee*: $250.00 Check #56 ¢ Bas 1953 Total recat 250,00 Date: oft Ie Rec’d By: CE * The Initial Determination fee is NOT refundable. Make checks payable to: MCDOT 2901 West Durango Street Phoenix, AZ 85009. Permit Receipt Payer Name: DAVID DABLEMONT 45914 N 37TH AVE NEW RIVER, Arizona 85087 Payment Items Description PATENT EASEMENT // APN- 202-13-021B // 1 X $250.00 = $250.00 Maricopa County Department of Transportation 2901 W. Durango Street Phoenix, AZ 85009 Receipt #: 100770 Payment Date: 10/1/2021 Reference #: APN- 202-13-021B Receipt Type: Patent Easements Payment Type Transaction # Amount Credit Card 3815185316 $250.00 Total: $250.00 H 1 Pon : ‘ : } y ade . CGsacteyouy 3 fog bette F bagdgeh: MO ES eic ! / i IME Ma i apenieut “Agere oan i. MCDOT Permits Thank you for your payment. Please print this receipt and keep it for your records. Clerk 1D: Customer Name t Reference Number Product RHODESC DAVID A DABLEMONT 2 APN-202-13-0243 Description Patent Easements Receipt Number: Transaction Date: Payment Type: Account Number: 1 38151853 16 40/04/2021 03:58 PK . Payment Amount $250.00 Payment Amount: $250.00