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ey He, Ey i em | ear. Applicant Name: Mailing Address: MARICOPA COUNTY DEPARTMENT: OF TRANSPORTATION 2901 W. Du ih Street Phoenix, AZ 85009 MAR 23 2020 | | hohe?) (602))506-4176 PATENT EASEMENT ABANDONMENT APPLICATION _ ~@ontact Information lady K Long GOW IS. PAB Number:_ O/2 2 _ Hot WuUSE ZL city: JU2sn state: A Z Zip: 9S LOT Phone Ze - w/2Z- 3 g5/ Email: ae wk LOA GG OUCC Og marl: Cony Parcel Detail Assessor's Parcel Number: 22O -O rs - OHE 1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix) (logy ny ust PL Mesa Az YSR2o7 2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A Abandon Exsemend bordeciing the Wesf side Of PATCE( 220~O8-ONNE Abdndon EFusementherder tag 7 he Saute SIS 2 a parcel ARO-OP-OHE 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, 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. Ti Jud uf Kk 72) Aggone R_ attest that I own the subject property and that it is not encumbered by mortgage or deed of frist. Subsc ib fd and sworn to before me this My Commission Expires: | () LD lo09 ) “dav or AVRO, 29628) aa. At Pe AD fies i Mellrdada = WL Zam” Signature” ‘Notary | Ao — iia ao Applicant De pists her ge “Maricopa County Use Only” Check #:427 Application 5 $1,600 Total Received: P/S52-) Date: J723 BZ Rec'd By: Cy *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 Permit Receipt Payer Name: Receipt #: 100217 JERRY D WAGGONER / JUDY K WAGGONER Payment Date: 3/23/2020 1108 N 115TH PL Reference #: APN 220-08-011E / PAB MESA, Arizona 85207-1737 O125 Receipt Type: Patent Easements Payment Items $1 350.00, Total: $1,350.00