4. INITIAL DETERMINATION REQUEST PAB-0152.PDF
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ie; phy 00 Meas Hi el ; M, RICOPA COUNTY DEPARTMENT OF TRANSPORTATION WAL oy. 1 6 202 2901 W. Durango Street e Phoenix, AZ 85009 VANE Phone: (602) 506-4178 ) ste iil abe T EASEMENT ABANDONMENT INITIAL DETERMINATION Applicant Name: Kimberly Samra Mailing Address: 6328 W. Donald Dr city: Glendale State: AZ Zip: 85310 Phone (602 )-509 _- 5736 Email: ksamra@leonardo247.com Assessor's Parcel Number: 2—-62—-954-4& 201-08-059E JM: Corrected APN, 11/16/20 1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix) (01344 \- finnacle teak Rd, Reoyig AL $5383- (sts 2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A) Dloandmm«<ent Easement wovdening the west de d, Partel 2ol-og' 059¢ 4 U -] to he Wis (ea (der Us) 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 of Applicant Date Sa Maricopa Coun PAB Number: Initial Determination Fee*: $250.00 Check #:. 7763 Total Received: B5200 pate: /Z£QY-BZ0 recs a Pi * 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 #: 100442 DANIEL A SAMRA Payment Date: 11/16/2020 2530 W BRISA DR Reference #: APN 201-08-059C PHOENIX , Arizona 85085-7130 Receipt Type: Patent Easements Payment Items Amount $250.00 | | | Total: $250.00 mn ‘PATENT EASEMENT ABANDONMENT INITIAL |Check DETERMINATION / KIMBERLY SAMRA | ment Type