4. INITIAL DETERMINATION REQUEST PAB-0140.PDF
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MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION 2901 W. Durango Street Phoenix, AZ 85009 Phone: (602) 506-4178 PATENT EASEMENT ABANDONMENT INITIAL DETERMINATION u im Applicant Name: LVERET rK. VEN a Ib / Malling Address: 2/2 A. JAwez MEK wi City: ~Abacusr State: Ae. zip: SIT SKS / Phone (S2)-S5Y-_YZA Email: Kb v pou 8 CupslElAy £ Assessor's Parcel Number: 4/2 - LZ- CGD 4. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix) bho En Veah Lew LD DADE LH, AZ. ESO RS 2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A) Asay bow Lesem én Th vop behets TE Sout S ptt fl) Z257- Se QEVALCEL. Ql - 1b = Cdl. HASAN T~ Mt 24 BETES LIAS. SHE EXTENTIONS. OF ZAsr JeAbLIoG Ronb Arb LORD Det, Gree 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/6f Applieant Date PAB Number: | Initial Determination Fee*: $250.00 en : Soa w: oo eae! Total en. do Date; Le BOL Rec py: ( os \ 20 s * The Initial Determination fee is NOT refundable. Make checks payable to: MCDOT 2901 West Durango Street Phoenix, AZ 85009. Payment Receipt Page 1 of i Mavicopa County Separtinent of Nansportatle MCDOT Permits Thank you for your payment. Please print this receipt and keep it for your records. Clerk iD: ARAMIREZ Customer Name: EVERETT R MOUDY Reference Number : APN: 210-14-026D Product Description Payment Amount Patent Easements 4 $260.00 Payment Amount: $260.00 Receipt Number: 3784636876 Transaction Date: 06/30/2020 11:17 AM Payment Type: | VISA Account Nysqber~ *882: J agree to pay this obiigdtion accopang the terms oullined In my agreement with my card issuer. https://pay direct link2go0v.com/MCDOTPERMITSVT/Receipt/SuccessfulPa... 6/30/2020 Payer Name: EVERETT R MOUDY 616 E YEARLING RD PHX, Arizona 85085 Payment Items Description APN: 210-14-026D // PAB Maricopa County Department of Transportation 2901 W. Durango Street Phoenix, AZ 85009 Permit Receipt Receipt #: 100295 Payment Date: 6/30/2020 Reference #: APN: 210-14-026D Receipt Type: Patent Easements Payment Type Transaction # Amount Credit Card 3784635876 $250.00 Total: $250.00