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MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION
2901. W. Durango Siréet » Phoenix, AZ 85009
Phone: (602) 506-4176
PATENT EASEMENT ABANDONMENT APPLICATION
CO Staite : mamer .
Applicant Name: mm ete Pow £ “sell PAB Number: Of
Mailing Address: Us Bly’ A: ie Street
city: AJewd | aver state:_ AL 2, zip: KSO SC
Phone re f0)-; Ais a] fl ae Email: : apes peopled Cars. Com
ig
202-11-035A, -035B, -035C
Assessor's: Parcel Number: are Wa oa
1. Location of Request: (ex: an W. Dove Valley.Road, Phoenix)
WOLD Ne 33° Ape. New Bs wor Az. PSOLT
2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A)
TecommendkehionS;
3. Applicant is REQUIRED to be the current owner of the described property. A copy ef your property deed
must bé attached to the application.
Leertify, under penalty of perjury, that no- loss of ‘currently existing legal and physical access to. any property
will occur if the County grants thé patent easement-abandonment requested in this application.
4. If you have a mortgage, deed of trust, upon your property-you are REQUIRED to provide a: letter from the
lender approving. your request to-ebandon a patent edsement. Applications submitted without lender approval
will not be processed., If you don’t have a mortgage or'deed of trust on the sutiject praperty, you will need
to sign, before a notary, the affidavit below attesting to tfiat status.
L 42 Of Rr berg ey attest that I own-the subject property and that it is not encumbered by
mortgage or deed of tréét. thy prods
Subscribed and sworn to before me this My ¢9 pExpikes:,
M.C. OFFENBURGER
Notary Public - State of Arizona
MARICOPA COUNTY
Commission # 578604
Expires April 21, 2024
_4? day of Peete, , 20280
& 1/19/2080
Date
Applicat *: $1,600 [
cn pe Total received: SOO-L0- Date: lly 4; AU) reel
Vv
*Application.Fee will be $1,350 ($1,600 less.$250) if Initial Deferraination letter is: ewvitt demonstrating an initial feview J
of the parcel was conducted by the County within the last’six months. The application fee is NOT refundable. Make
payable to: MCDOT 2901 West Durango Street Phoenix, AZ 85009,
MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION
2901 W. Durango Street » Phoenix, AZ 85009
Phone: (602) 506-4176
PATENT EASEMENT ABANDONMENT APPLICATION
Contact: Information
le She iy lyf (Becumel
Applicant Name: Links Kt Puta PAB Number: (413 OlQXS
ne €
~ a 5
Mailing Address: “90@O_\). 335 Ave
City: Aew River State: /\ Z.- Zips XK SO 8'7
Phone ({80_)- AIS - 757 Email: haga pewole Lems te com
“Parcel Detail
Assessor's Parcel Number: AC2- Il -_G35-D
1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix)
Globo M33" Aw Jew Rye Az
2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A)
Abaadon the. patent caseMedts Pursuad™ to (Meda) abjections and
re commended} ons.
3. Applicant is REQUZKED 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. Jf you have a mortgage, deed of trust, upon your property you are REQUIRED to provide a letter from the
lender approving your request to abandon a patent easement. Applications submitted without lender approval
will not be processed, If you don’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.
L Laspn, K. Cameron attest that I own the subject property and that it is not encumbered by
mortgage or deed of trust,
Subscribed and sworn to before me this iss i
~ - Notary Public - Arizona
” Maricopa County
ce day of Sole 71 , 2020 Commission # 580714
My Comm, Expires May 15, 2024
a wn brs. F- Char Z
Notafy Pr Public
Signature’,
LIC Corsican 322020
Signature of Applicant Date
‘Maricopa County:Use Only ©
Application Fee*: $1,600
Check #: Total Received: Date: Rec'd By:
*Application Fee will be $1,350 ($1,600 less $250) if Initial Determination fetter 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.
Permit Receipt
Payer Name:
JERRY PURSELL
217 WINDOVER DR
COUNCIL BLUFF, lowa 51503
Payment Items
Description
PATENT EASEMENT ABANDONMENT // JERRY PURCELL
Maricopa County Department of Transportation
2901 W. Durango Street Phoenix, AZ 85009
Receipt #: 100313
Payment Date: 7/10/2020
Reference #: PAB 0123 / APN 202-11-
035A - 035B - 035C
Receipt Type: Patent Easements
Payment Type Transaction # = Amount
Credit Card 3785299847 $1,350.00
Total: $1,350.00
DocuSign Envelope ID: 799FEB1C-D82B-4D41-87BD-473C075DCC29
Payment Receipt Page | of 1
Maricopa County
Department of Transporter
nen FRAMSPORTATION
MCDOT Permits
Thank you for your payment.
Please print this receipt and keep it for your records.
Clerk ID : BPEREZ
Customer Name : JERRY PURSELL
PAB 0123 / APN 202-11-
ber:
Reference Number 035A - 035B -035C
Product Description Payment Amount
Patent Easements 1 $1,350.00
Payment Amount: $1,360.00
RecolptNumber: 3785299847
Transaction Date: 07/10/2020 04:08 PM
Payment Type: [ose
AccountNumber: *8595
DocuSigned by:
ae | Perry Parcel —
dome tbinebligation according {o the terms outlined in my agreement with my card issuer.
https://paydirect.link2gov.com/MCDOTPERMITSVT/Receipt/SuccessfulPayment 7/10/2020