2023-11-28 -- PC 426 -- 4-PAB-0231-INITIAL-DETERMINATION-REQUEST.PDF

Maricopa County — Formal (2024-03-13)

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= v8 [ MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION

2901 W. Durango Street e Phoenix, AZ 85009
Phone: (602) 506-4889

ell ABANDONMENT INITIAL DETERMINATION

Note: Completed forms may be submitted to MCDOTPlanning@Maricopa.gov or mailed to the MCDOT office.
Incomplete iste may result in delay of review.

| Contact Information _

applicant Name: ROVER. FAMILY {ESUST

Mailing Address: % 255 ZD N lot St
City: CANE CREE State: A. L Zip’ bs: fo ia

Phone 08). th i pH lo Email: <tme erat eas COW

ee eee Parcel Detail 2p ER Sees

Assessor's Parcel.Number: Lllo . 50. 027A

1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix)

425724 N, lt Cave Creek

2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A)

Aowundon Ease ment bortbr ing the. Northside at parce] Lie-60-0Z 1A

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 easemént abandonment requested in this initial determination.

6s

Signature of Applicant// O Date

| Maricopa County Use Only

PAB Number:

Initial Determination Fee*: $250.00

Check #:_} LAWL Total recone ESD Date: lara Rec'd By: uy

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

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

Receipt
Payer Name: Receipt #: 101241
STANLEY B ROYER / JACQUELINE L ROYER Payment Date: 1/9/2023
32523 N 64TH ST Receipt Type: Patent Easements
CAVE CREEK, Arizona 85331 Reference #: PAB INITIAL DETERMINATION

APN 216-50-037A

ion f

PATENT EASEMENT ABANDONMENT INITIAL DETERMINATION | 1246
APN 216-50-037A |
|

Total: $250.00,

$250.00,