4. INITIAL DETERMINATION REQUEST PAB-0169.PDF
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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: Daniel Filuk _ ae Mailing Address: 300 W. Clarendon Ave., Suite #320 a City: Phoenix State: AZ Zip: 85013 Phone (602 )- 234 _ - 1868 Email: danf@kdf-architects.com | Parcel Detail | Assessor's Parcel Number: 210 - 08 - O11 1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix) Address to be determined by County. Location is approximately NW corner of North 11th Ave & West Alameda Rd alignment. 2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A) Abandon 33' Federal Patent Easement bordering all 4 sides of parcel 210-08-011 - separate filings will be made for 20' ROW Reservation bordering the East side of said parcel and a 40' ROW Reservation bordering the South side of same parcel. 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 Daniel D. Fuk bea 03/22/2021 Signature of Applicant Date | Maricopa County Use Only PAB Number: Initial Determination Fee*: $250.00 yh: P L057 5 Total Receive(@ LED -20 Date: AS Wlanch 2off'd By: Sos) * The Initial Determination fee is NOT refundable. Make checks payable to: MCDOT 2901 West Durango Street Phoenix, AZ 85009. Permit Receipt Payer Name: DANIEL D FILUK 300 W CLARENDON AVE SUITE 320 PHOENIX , Arizona 85013 Payment Items Description PATENT EASEMENT ABANDONMENT INITIAL DETERMINATION / DANIEL FILUK Maricopa County Department of Transportation 2901 W. Durango Street Phoenix, AZ 85009 Receipt #: 100575 Payment Date: 3/25/2021 Reference #: APN 210-08-011 Receipt Type: Patent Easements Payment Type Transaction# = == Amount Credit Card 3802453556 $250.00 Total: $250.00 MCDOT Permits Thank you for your payment. Please print this receipt and keep it for your records. Maticopa County Department of Transporiation Clerk ID; BPEREZ Customer'Name:: DANIEL D FILUK / KDF . ARCHITECTURAL GROUP Reference Number : APN 210-08-011 Product Description Payment Amount Patent Easements 1 $250.00 Payment Amount: $250.00 Receipt Number: 3802453556 Transaction Date: 03/25/2021 01:18 PM Payment Type: ‘VISA Account Number: = *5473 . 11g Oalay sonedty Dart D. Fk Daniel D. Filuk 82 2oah0 2913 2647 OTF — | agree to pay this obligation according to the terms oullined in my agreement with my card issuer.