4. INITIAL DETERMINATION REQUEST PAB-0176.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 4 Contact Information it ah iv | a 4 Applicant Name: Ryan Gerdes )L | Mailing Address: 1326 W Puget Ave. — City: Phoenix State: AZ Zip: 85021 Phone (602 )-358 — - 5001 Email: frgerdes@azrecongroup.com Parcel Detail Assessor's Parcel Number: 210-11 - 005-3. 1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix) No physical address has been assigned yet. Southwest corner of property is approximately 260 feet North of Briles on the East side of 17th Avenue. Phoenix, AZ 85085. 2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A) Patent easement runs from Southwest corner of property along the entire length of the western border to the Northwest corner of the property. 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 PTZ i | Signatufe $f/Applicant | Date Maricopa County Use Only ws PAB Number: Initial Determination Fee*: $250.00 Check #: 1006 ZA Total Received: 26D: Oo pate: O7 0Rbc'd By: BAH a * The Initial Determination fee is NOT refundable. Make checks payable to: MCDOT 2901 West Durango Street Phoenix, AZ 85009. Maricopa County MCDOT Permits Thank you for your payment. Please print this receipt and keep it for your records. Department of Transportation Clerk ID : BPEREZ Customer Name: RYAN M GERDES Reference Number : APN 210-11-005J Product Description Payment Amount Patent Easements 4 Receipt Number: 3810042596 Transaction Date: 07/07/2021 02:33 PM Payment Type: visa) Account Number: *017 x \ l agree topay t is obligatioh achording to the terms outlined in my agreement with my card issuer. Payment Amount: $250.00 $250.00 Maricopa County Department of Transportation 2901 W. Durango Street Phoenix, AZ 85009 Permit Receipt Payer Name: Receipt #: 100672 RYAN GERDES Payment Date: 7/7/2021 1326 W PUGET AVE Reference #: APN 210-11-005J PHOENIX , Arizona 85021 Receipt Type: Patent Easements Payment Items PATENT EASEMENT ABANDONMENT INITIAL Credit Card 3810042596 DETERMINATION / RYAN GERDES | | Total: $250.00 $250.00 |