4. INITIAL DETERMINATION PAB-0189.PDF
Extracted text (via ocr_local)
1684 characters
MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION 2901 W. Durango Street « Phoenix, AZ 85009 Phone: (602) 506-4178 PATENT EASEMENT ABANDONMENT INITIAL DETERMINATION Applicant Name: Corne | Si la S1 Mailing Address: ISZO q MV iq™ LL City: Lh CEN A yY State: fi. Zip: SSO on Ow Phone (G0Q)- QW f. 2009 Email: ana 12.§) las: @hotmax |. com Assessor's Parcel Number: Q/() - OF - rex A 1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix) 5107 Wj" Aye, 2 woply, M2 85035 (WOAdh- Cast Ss ickt Of. 7 Ave anol Lipa Walley ma 2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A) bor, EQS: Wi C, atk wed OG - OG 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. (CBee “ polis at Signature of Applicant Date PAB Number: Ae 216-004-626 KA Initial Determination Fee*: $250.00 Check #: g | Total Received: 42s 0.00 Date: Lofts /e( Rec'd By: Ch * The Initial Determination fee 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 #: 100792 CORNEL SILASI Payment Date: 10/15/2021 ANGIE SILASI 15809 N 19TH PL Reference #: PATENT EASEMENT // PHOENIX, Arizona 85022 ARN 210°09°026/ Receipt Type: Patent Easements Payment Items Description Payment Type Transaction # Amount PATENT EASEMENT // APN 210-09-026A // 1 X $250.00= Check 189 $250.00 $250.00 | | | Total: $250.00