2023-09-05_4-PAB-0225-PC 310 - INITIAL-DETERMINATION-REQUEST.PDF
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eebee, ral Fa Bsa Sat MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION 2901 W. Durango Street e Phoenix, AZ 85009 Phone: (602) 506-4889 PATENT EASEMENT ABANDONMENT INITIAL DETERMINATION 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: Eric Van Mailing Address: 4025 W Bell Road STE 20 City: _Phoenix State: AZ Zip: 85053 Phone (213 _)- 446 - 8244 Email: drevs@hotmail.com | __ Parcel Detail Assessor's Parcel Number: _See Below_- 1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix) 145 W Briles Road Phoenix 85085 208 W Briles Road Phoenix 85085 2. Description of Request: (ex: Abandon Easement bordering the South side of parcel 123-45-067A) Please evaluate for abandonment of all patent easements on the following three adjacent parcels: 210-13-020 210-13-049A 210-13-049B 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. | ane Signature EK 10/31/2022 Signature of Applicant Date | Maricopa County Use Only PAB Number: Initial Determination Fee*: $250.00 eae : a by y 2 Total Received D2 $2.02 Date: Z2/ Yared Rec'd By: re 5 =! * The Initial Determination fee is NOT refundable. Make checks payable to: MCDOT 2901 West Durango Street Phoenix, AZ 85009. Payer Name: ERIC VAN 4025 W BELL RD STE 20 PHOENIX , Arizona 85083 Description PATENT EASEMENT ABANDONMENT INITIAL DETERMINATION / ERIC VAN Maricopa County Department of Transportation 2901 W. Durango Street, Phoenix, AZ 85009 Receipt Receipt #: Payment Date: Receipt Type: Reference #: Payment Type Credit Card 101182 11/2/2022 Patent Easements APN 210-13-020 / 049A / 049B Transaction # 3839127159 Amount $250.00 Total: $250.00, Maticopa County Department of Transportation MCDOT Permits Thank you for your payment. Please print this receipt and keep it for your records. Clerk ID: BPEREZ Customer Name : ERIC VAN APN 210-13-020 / 210-13- Reference Number : 049A / 210-13-049B Product Description Payment Amount Patent Easements 1 $250.00 Payment Amount: $250.00 Receipt Number: 3839127159 Transaction Date: 11/02/2022 09:31 AM Payment Type: Account Number: *5321 eee = = == | agree to pay this obligation according to the terms outlined in my agreement with my card issuer,