4. INITIAL DETERMINATION PAB-0182.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 Applicant Name: _Sidney M. Corkins Mailing Address: _25609 N. 16th Ave. City; Phoenix State: AZ Zip: 85085 Phone (602)- 281 - 5651 Email: (Mn Cea iy iis @ (eels » em) Assessor's Parcel Number: 240 - 10. 025" 1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix) 25609 N. 16th Ave. Phoenix, AZ. 85085 (NE corner of 16th Ave. and Parsons Road) 2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A) Abandon Easement bordering the East side of Parcel # 210-10-025C AWest, and south Revised per conversation with applicant, 8/26/21, JB 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 Applicant ee Date PAB Number: Initial ngterins fon < $250.00 g i/ Zl && eres Total Received: 250 00 Date: Rec'd By: * The Initial Determination fee is NOT refundable. Make checks payable to: MCDOT 2901 West Durango Street Phoenix, AZ 85009, lation ANS porl Maricopa County Dopartaent of Te con MCDOT TRANSPORTATION MCDOT Permits Thank you for your payment. Please print this receipt and keep it for your records. Maricopa County Department of Transportation Clerk ID: RHODESG Customer Name : SIDNEY MARCUS CORKINS Reference Number : APN: 210-10-025C Product Description Payment Amount Patent Easements 1 $250.00 Payment Amount: $250.00 Receipt Number: 3813095519 Transaction Date: 08/27/2021 10:01 AM Payment Type: CJ Account Number: *8693 " _ acaeaeiiiaieenaal | agree to pay this obligation according to the terms outlined in my agreement with my card issuer. Permit Receipt Payer Name: SIDNEY MARCUS CORKINS 25609 N 16TH AVE PHOENIX, Arizona 85085 Payment Items Description APN: 210-10-025C // PATENT EASEMENT // 1X $250.00 = $250.00 Maricopa County Department of Transportation 2901 W. Durango Street Phoenix, AZ 85009 Receipt #: 100722 Payment Date: 8/27/2021 Reference #: APN: 210-10-025C Receipt Type: Patent Easements Payment Type Transaction # Amount Credit Card 3813095519 $250.00 Total: $250.00