4. INITIAL DETERMINATION REQUEST PAB-0144.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 wt _ Contact Information _ AUG 7 ogg Applicant Name: Michael J Daley Jr Mailing Address: 47801 N Black Canyon Hwy #87 City: New River State: AZ Zip: 85087 Phone (623 _)- 210 _- 8189 Email: mike@copperheadaz.com ie eee aaa Parcel Detail Pa Pare Assessor's Parcel Number: 202-11 - 031E 1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix) 47750 North 31st Avenue, New River, AZ 85087 2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A) Abandon 33 foot Easemant on North And South sides of parcel 202-11-031E 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. ye eSienatures:, Sy ——— Zo 8/6/2020 Signature of Applicant Date ____ Maricopa County Use Only _ PAB Number: Bee Determination Fee*: $250.00 Bel i = Ler LOOELS Total received PLD Date: Ofehy, 4 ec'd 6 | * The Initial Determination fee is NOT refundable. Make checks payable to: MCDOT 2901 West Durango Street Phoenix, AZ 85009. Permit Receipt Payer Name: MICHAEL J DALEY 515 E CAREFREE HWY PHOENIX , Arizona 85085 Payment Items Description PATENT EASEMENT ABANDONMENT INITIAL DETERMINATION Maricopa County Department of Transportation 2901 W. Durango Street Phoenix, AZ 85009 Receipt #: 100345 Payment Date: 8/7/2020 Reference #: APN 202-11-031E Receipt Type: Patent Easements Payment Type Transaction # — Amount Credit Card 3786967711 $250.00 Total: $250.00 Payment Receipt Page | of 1 Maticopa County i oe ss MCDOT Permits Thank you for your payment. Please print this receipt and keep it for your records. Clerk ID : BPEREZ Customer Name : MICHAEL J DALEY / COPPERHEAD Reference Number : APN 202-11-031E Product Description Payment Amount Patent Easements 4 $250.00 Payment Amount: $250.00 Receipt Number: 3786967711 Transaction Date: 08/07/2020 03:36 PM Account Number: *2163 | agree to pay this obffgation according to the terms outlined in my agreement with my card issuer. https://paydirect.link2gov.com/MCDOTPERMITSVT/Receipt/SuccessfulPay... 8/7/2020