2024-03-21 -PC 627 -1-PAB-0248-APPLICATION.PDF
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MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION 2901 W. Durango Street « Phoenix, AZ 85009 Phone: (602) 506-4889 PATENT EASEMENT ABANDONMENT APPLICATION Note: Completed forms may be submitted to MCDOTPlanning@Maricopa.gov or mailed to the MCDOT office. Incomplete applications may result in delay of review. Contact Information Applicant Name: K ut) Stev £NSONM : eae OA Y 8 Mailing Address: 4 EO0OF ‘ |e e) hy Cc city: (\ew Ka vec state: \Z—__zip: 85087 Phone (G02) - 677 = 6373 Email: 16 rap Cars QO) ama, ). COfr\ DRE aD Se LS ee eS Ee Assessor's Parcel Number: Z02- ie O13 Cc 1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix) 48007 f] Kelly rd, New River 2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A) Psandion Casmenl Oh cotter Aen 202-l|-013C ) (per authorization from applicant on 01/30/2024 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. Ly heudt Ste Vesa" attest that I own the subject property and that it is not encumbered by mortgage or deed of trust. aly 4, Leal Subscri ) and sworn ib ad before me this My Commission Expire ALYSSA MARIE GOODLOE Notary Public - Arizona Maricopa County y Commission # 629546 My Comm. Expires Jul 29, 2026 Si Application Fee*: $1,600 %. =< Check #:_ 1 WS Total Received? 5S D .©CO Date: 1°" Wt Rec'd By: 2) *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 Sireet, Phoenix, AZ 85009 Receipt Payer Name: Receipt #: 101583 KURT A STEVENSON Payment Date: 1/8/2024 18010 N 42ND ST Receipt Type: Patent Easements PHOENIX, Arizona 85032 Reference #: PATENT EASEMENT ABAND APP APN202-11- 013C Description Amount 1285) $1,350.00 PATENT EASEMENT ABANDONMENT APPLICATION APN202- | == Check =| 11-013C // KURT A STEVENSON Total: $1,350.00