2024-02-22_ --PC 578-- PAB-0254-APPLICATION.PDF
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MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION 2901 W. Durango Street e Phoenix, AZ 85009 Phone: (602) 506-4889 ee ai cot hs 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. eae . Contact Information Applicant Name? a) f€ br LINER. PAB Number: PAE, - © 25Ef Mailing Address: LSD & <=. Mert it Dr city: Conse. Cove ke state: /7Z. Zip: OS 3. Phone e UE) SOL - &7 Be Email: LISNE RTS & Vit hee Wt, ee Parcel Detail Assessor's Parcel Number: 2lb - 30 50. 133 Ir 1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix) 2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A) Abwornt S- 2bmad WSIS ehe fevel UeSelss#- 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 cufrently 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. S, e pV f1E fi roof L attest that I own the subject property and that it is not encumbered by mortgage or deed of trust. Subscribed and sworn to before me this My Commission Expires: day of , 20 Signature Un b-2?. wa Applicant Date eure *. Maricopa County.Use Only Application Fee*: $1,600 Check #:_(o! | Total Received: fh 350.00 pate: _}\f 24.2.3 Rec'd By: Mo *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 Street, Phoenix, AZ 85009 Receipt Payer Name: Receipt #: 101541 THE JEFFREY EISNER LIVING TRUST / JEFFREY Payment Date: 11/20/2023 EISNER TRUSTEE rr Receipt Type: Patent Easements 6506 E MARIA DR | Reference #: PATENT EASEMENT ABANDONMENT / APN CAVE CREEK, Arizona 85331 216-50-133A ‘Description Payment Type Transaction # Amount PATENT EASEMENT ABANDONMENT / APN 216-50-133A Check 6181 $1,350.00 Total: $1,350.00