2024-02-22 --PC 575 --PAB-0236-APPLICATION.PDF

Maricopa County — Formal (2024-06-26)

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OUNTY DEPARTMENT OF TRANSPORTATION
2901 W. Durango Street e Phoenix, AZ 85009
Phone: (602) 506-4889

ENT EASEMENT, NDONMENT APPLICATION
Note: Completed forms (yy t lanning@Maricopa.gov or mailed to the MCDOT office.

Incomplete applications may result irrdelay-ef-review_

Contact Information

Applicant Names Maran and Nidole Urbano w i ¢z-pap Number: PAB ~ 023 lc
Mailing Address: 6112 W- Mceae Wan

city;_G len Cate ‘State: AZ zip:_ B930%
Phone (£23)- LYv__- 1513 Email: marty u @ rock martinweal Th. com
Parcel Detail

Assessor's Parcel Number: 20 1B . POZA J 1d -)3- 0038 , 21> [3 ~003C-
1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix)

37 W. Jomax React » Phyenix

2. Description of Request: (exc Abanclon Easement bordering the South th of parcel 123-45-067A)

bandon the etigtia Pabent easement bel hee IT WAR &
ite-Cpearic Acc AN easement - fap

3. Applicant is REQUIRED to be the current owner of the described property. A copy of your property deed
must be attached to the application.

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 application.

4, if you have a mortgage, ceed of trust, upon your property you are REQUIRED to provide a letter from the
lender approving your request to abanclon a patent easernent. Applications submitted without lender approval
will not be processed. If you clon’t have a mortgage or deed of trust on the subject property, you will need
to sign, before a notary, the affidavit below attesting to that status.

mney Aud
L,_Aecele Usbaab Wie2 attest that I own the subject property and that it is not encumbered by

mortgage or deed of trust.

-
Subscribed ancl sworn to before me this My Commigsion Expires: 12/17 (085
‘ MARIE VERONICA DEANGELIS

aM)
a7 day of Docembee- ; 202% Notary Public - Arizona

Maricopa County
Commission # 616544

My Comm, Expires Dec 17, 2025

Notary Pabili
i Signature
Jd V1, W-] S--2 December, 27%, 293
Sit

acure nccarnwcmnt Date

Maricopa County Use Only

Application Fee*: $1,600 ;
Check #: 1D97] Total receives (260°° bate: DUO 209.4} Rec'd By: DS

*Application Fee will be $1,350 ($1,600 less $250) if Initial Determination letter is provided; demonstrating an initial review
of the parcel was conducted by the County within the last six months. The application 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

Receipt
Payer Name: Receipt #: 101580
MARTY URBANOWICZ ’ Payment Date: ‘ 1/3/2024
6712 W MCRAE WAY Receipt Type: Patent Easements
GLENDALE, Arizona 85308 Reference #: PAB-0236 / APN 210-13-003A, 210-13-003B &

210-13-003C

1097 $1,350.00
Total:, $1,350.00

PAB-0236 / APN 210-13-003A, 210-13-003B & 210-13-003C