4. INITIAL DETERMINATION REQUEST PAB-0178.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: Larry and Laurel Richmond Mailing Address: 3926 W Mandalay Ln City: Phoenix Contact Information State: AZ Phone (435_)-979 _ - 0995 Email: laurelcoe@hotmail.com_ | L Assessor's Parcel Number: 210 Parcel Detail. : : | wih - 023D 1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix) 25824 N. 15th Ln. Phoenix, AZ 85085 2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A) Complete Abandon Easement bordering both the West and East sides of parcel 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. Tanta ery iu! Lahyod August 1, 2021 ignature “Signatur@ of Ap ipplicant / q Date Maricopa County Use Only PAB Number: Initial Determination Fee*: $250.00 LLOTLO Total Received: AIE2-22_ Date: Piaget toGlpec's By: fo — 2. Z * The Initial Determination fee is NOT refundable. Make checks payable to: MCDOT 2901 West Durango Street Phoenix, A’ 85009. Maricopa County Department of Transportation 2901 W. Durango Street Phoenix, AZ 85009 Permit Receipt Payer Name: Receipt #: 100700 LARRY R RICHMOND / LAUREL RICHMOND Payment Date: 8/5/2021 3526 W MANDALAY LN Reference #: APN 210-11-023D PHOENIX , Arizona 85053-4646 Receipt Type: Patent Easements Payment Items Amount PATENT EASMENT ABANDONMENT INITIAL Check 2107 $250.00, DETERMINATION - LARRY AND LAUREL RICHMOND Total: $250.00