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L. 1 MARICOPA COUNTY DEPARTMENT QF TRANSPORTATION 2901 W. Du6ngO: Street • Phoenix, AZ 85009 mAR 23 2020 Oahe (602) 506-4176 PATENT EASEMENT ABANDONMENT APPILIATION Contact Information Applicant Name: -..(A_cici I< Witc/okit''/Q. PAB Number: Mailing Address: //0 - A) 1/5-%ci- )Z- City: #A-e.sm State: /I a Zip: ?-5--- 6 7 Phone C7Z)_ .5x _ g5/ Email: t-a< Lc) 4 ci• (7 n „."1- (r)frilici,' I e cenit--> Parcel Detail Assessor's Parcel Number: - I. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix) ( k) it 5-41:1 1/3 L 2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A) to 7incloo Cgs' ernert-1-- Y--k2 (.-06' 5 .Zz.7 O 0 -01i& grq,',etvien i— borckorev/0/ Sew L /c/ e2 imrcei aao,oW--01/6- 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. I, J ci k Le.) 499D1eg. attest that I own the subject property and that it is not encumbered by mortgage or deed of frust. Subsc ib d and sworn to before me this P\ wIP , day of JAAI Notary Public My Commission Expires: D fc)1 L.g-0,..g 0 py M. ANDRADE - Arizona L1,ti .v.v, r.oi!ntv Signature 3 Date Maricopa County Use Only Application .Tee*: $1,600 Check Total Received:084.5-a> Date: .93 -02426 Rec'd By: *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: JERRY D WAGGONER / JUDY K WAGGONER 1108 N 115TH PL MESA, Arizona 85207-1737 Receipt #: Payment Date: Reference #: Receipt Type: 100217 3/23/2020 APN 220-08-011E / PAB 0125 Patent Easements Payment Items Description Payment Type Transaction # Amount PATENT EASEMENT ABANDONMENT APPLICTION Check 10535 $1,350.00 Total: $1,350.00