4. INITIAL DETERMINATION REQUEST PAB-0134.PDF

DECEIVE

MARICOPA COUNTY D PARTTIME! F TRANSPORTATION
Wa ge \ 2901 W. Durango Street Phoenix, AZ 85009
Wy” ; Phone: (602) 506-4178

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PATENT EASEMENT ABANDONMENT INITIAL DETERMINATION

Applicant Name: ancy and

Mailing Address: ble. FE. PeatVeens Rd

City: abe Chak, state: Az zips _&533{
- phone ((pd)-.A21 2222. mai: 7cL 00 [s-from@ aurt loolf.com

Assessor’s Parcel Number:All_ 44 -O4NP
1, Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix)

oll4 _€&- Pronk Views Ra
Cre. Ook, Ae 65231

2, Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A)

Ahowdon Casement horcleru the. West slot of,

poacel 2H 44— Ola ~

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 inltial determination.

DEE,

di eaten _ Wah. 26, 20 3
Signature of Applicant = ——-——__) Date

AMiarichpalcounty WEsOnlyiese:

PAB Number:

Initial Determination Fee*: $250.00
Check #: 4235 ‘Total Recelved $1 2Q0-CO ate: DDAp1202Reca —— <a

* The Initial Determination 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

Permit Receipt

Payer Name: Receipt #: 100249
DIANA E BOLSTROM / RANDY G BOLSTROM Payment Date: 4/20/2020
6114 E PEAK VIEW Reference #: APN 211-44-041B
CAVE CREEK , Arizona 85331 Receipt Type: Patent Easements

Payment Items

Description Payment Type Transaction # Amount

PATENT EASEMENT ABANDONMENT INITIAL Check 4235 $250.00
DETERMINATION

Total: $250.00