4. INITIAL DETERMINATION PAB-0175.PDF

MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION
2901 W. Durango Street e Phoenix, AZ 85009
Phone: (602) 506-4178

PATENT EASEMENT ABANDONMENT INITIAL DETERMINATION

‘Contact Information
Applicant Name: JOSE 2 AYALA § Rose ARIA ZuwicA OE AYRLA
Mailing Address: Fale S 132% Ave
city: Goon 4EAR State: _A2 zip: F SIE

Phone (626 )- 3/9 - 34/3 (SPawish)emai: CUA3G0 D MAC. Com

G2L -P01- [30 (Ensuirn) - Een CAMPBELL

Assessor's Parcel Number: Goo . 01 .0216

1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix)
Pala S. (829 Ave _ Goodyeng AX

2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A)
PSANOON EAvemevr BoeoerRine THE NORTH SioE OF fancEl Yoo-4l-02/- &

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
Signatuye’of Applicant Date ¢

Maricopa County Use Only

PAB Number:

Initial Determination Fee*: $250.00

eck #: Total Received Z8D-00 Date: 2% thei 20+ Rec'd —
Girne? 100CGP —_i

* The Initial Determination fee is NOT refundable. Make checks payable to: MCDOT 2901 West Durango Street Phoenix,-A:
85009.

Maricopa County Department of Transportation
2901 W. Durango Street Phoenix, AZ 85009

Permit Receipt

Payer Name: Receipt #: 100663
ELLEN CAMPBELL Payment Date: 6/28/2021
331 STONEY RIDGE CIRCLE Reference #: APN 400-01-021E
PRESCOTT, Arizona 86303 Receipt Type: Abandonments
Payment Items

Description Payment Type Transaction # Amount
PATENT EASEMENT ABANDONMENT INITIAL Credit Card 3809504569 $250.00
DETERMINATION / JOSE L AYALA & ROSA MARIA ZUNIGA |

DE AYALA

Total: $250.00

MCDOT Permits

Thank you for your payment.

Please print this receipt and keep it for your records.

Meticopa Garrity ;
Hepartient of Wanspartation

Clork ID: BPEREZ
Customer Name: ELLEN CAMPBELL

Reference Numbar ; APN 400-01-021E

Product Descriptian

Payment Amount

Abandonments 1

ReceiptNumber: 3809504569

Transaction Dato: 06/28/2021 01:53 PM

Account Number: ‘8334

(0 {he terms outlined in my agreement with my card issuer.

$250.00
Payment Amount: $250.00