4. INITIAL DETERMINATION PAB-0173.PDF
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ie, ( i MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION are 2901 W. Durango Street e Phoenix, AZ 85009 cod Phone: (602) 506-4178 PATENT EASEMENT ABANDONMENT INITIAL DETERMINATION Contact Information Applicant Name: Israel Perez Mailing Address: 31006 N. 67th Street City: Cave Creek State: AZ Zip: 85331 Phone (602 )- 292 _- 7407 Email: Mypowerplant@gmail.com Parcel Detail Assessor's Parcel Number: 216 - 67 - 200B 1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix) 31006 N. 67th Street, Cave Creek NW corner lot of 67th Street and Wildcat Drive 2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A) Abandon Easement bordering the South side of parcel 216-67-200B and, Abandon Easement bordering the East side of parcel 216-67-200B. 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 jigitally signed by Israel P Israel Perez Dake 2004 0824 19:38:36 0700 Signature of Applicant Date Maricopa County Use Only PAB Number: Initial Determination Fee*: $250.00 Check #: Total Received: Date: Rec'd By: * The Initial Determination fee is NOT refundable. Make checks payable to: MCDOT 2901 West Durango Street Phoenix, AZ 85009. Permit Receipt Payer Name: ISRAEL PEREZ 31006 N 67TH ST CAVE CREEK , Arizona 85331 Payment Items Description PATENT EASEMENT ABANDONMENT INITIAL |DETERMINATION Maricopa County Department of Transportation 2901 W. Durango Street Phoenix, AZ 85009 Receipt #: 100637 Payment Date: 5/27/2021 Reference #: APN 216-67-200B Receipt Type: Patent Easements Payment Type Transaction # Amount Credit Card 3807614653 $250.00, Total: $250.00 Maricopa County Mepariment of Nansportation MCDOT Permits Thank you for your payment. Please print this receipt and keep it for your records. Clerk ID: BPEREZ Customer Name: ISRAEL PEREZ - Reference Number : APN 216-67-200B Product Description Payment Amount Patent Easements 1 ee $250.00 Payment Amount: $250.00 Receipt Number: 3807614653 Transactlon Date: 05/27/2021 10:20 AM Payment Type: Account Number: *6098 Maral Pareg | agree to pay this obligatigp/according to the terms outlined in my agreement with my card issuer.