4. INITIAL DETERMINATION REQUEST PAB-0177.PDF
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IC Sue DARI ZONAG are fi CouN’S RICO, SP tlh ty MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION 2901 W. Durango Street e Phoenix, AZ 85009 Phone: (602) 506-4178 i PATENT EASEMENT ABANDONMENT INITIAL DETERMINATION, \ — =\ GS = \ \2 | 5 ContactiInformation: \ —— Applicant Name: Andrew Lorentzen - Rose Law Group \ AN\\e 1 M4 Ay a Mailing Address: 7144 E. Stetson Dr. Ste: 300 AEOOV on City: Scottsdale State: AZ Zip: 85251: é Nz Phone (480 _)- 240 - 5642 Email: alorentzen@roselawgroup.com : Es _ Parcel Detail ad Assessor's Parcel Number: 201-21 - 054C =& 201-21-055B 1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix) SW of the SWC of 115th Ave & Happy Valley Rd. 2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A) Abandon Easement bordering the West side of parcels 201-21-054C & 201-21-055B. 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 a SES | defen Signature o' vecPhppiant SS Date Maricopa County Use Only SEE] PAB Number: Initial Determination Fee*: $250.00 check #:/27 £4 Total Received: 22252) 20) pate: aledal/ Rec'd By: ca B Lwpat ZZ Cat? C * The Initial Determination Ls is NOT refundable. Make checks payable to: MCDOT 2901 West Durango Street Phoenix, AZ 85009. Maricopa County Department of Transportation 2901 W. Durango Street Phoenix, AZ 85009 Permit Receipt Payer Name: Receipt #: 100687 ROSE LAW GROUP PC Payment Date: 712112021 7144 E STETSON DRIVE SUITE 300 Reference #: | APN 201-21-054C / APN SCOTTSDALE , Arizona 85251 201-21-0558 Receipt Type: Patent Easements Payment Items Payment Type PATENT EASEMENT ABANDONMENT INTIAL Check DETERMATION / APN 201-21-054C / APN 201-21-055B $250.00. $250.00