2024-02-08 _PC 559 -PAB-0226-INITIAL-DETERMINATION-REQUEST.PDF
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MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION 2901 W. Durango Street e Phoenix, AZ 85009 | Phone: (602) 506-4889 PATENT EASEMENT ABANDONMENT INITIAL DETERMI Note: Completed forms may be submitted to MCDOTPlanning@Maricopa.gov or faa Incomplete applications may result in delay of review. _ F | Contact Information \% Applicant Name: Awn: HoONY Sa. NBORN Mailing Address: 2072 _N\ Ae i PL. City: Cave. Cerek state: AZ Dp: OS 32 \ Phone (bod )- 32 . 2099 Email: T2ANgoRN [S20 PQma: |. Cow | Parcel Detail Assessor's Parcel Number: 216 -S@ -O3G 1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix) Mppeox. 650\ E. OcuPadso SR 2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A) Agandoy PrreuT EASEMENT @Boenseing THE Easy SIDE AW)\ Neer Sibe OF PARCEL Diw- SO> 036 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. oe a E Signature — f in ee (0/30 /acas- Signature of Applicant Date “ | Maricopa County Use Only ay PAB Number: Initial Determination Fee*: $250.00 Check #: 225 Total Received:_2° Date: Se [yo22 Rec'd oe * 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 Receipt Payer Name: Receipt #: 101177 ANTHONY ROBERT & JESSICA ELENA SANDORN Payment Date: 10/31/2022 30270 N 40TH PL Receipt Type: Patent Easements CAVE CREEK , Arizona 85331-5834 Reference #: APN 216-50-036 APN 216-50-036 INTITIAL DETERMINATION | Check 225, $250.00. | Total: $250.00