2023-09-06_4-PAB-0235- PC 314 - INITIAL-DETERMINATION-REQUEST.PDF

MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION
2901 W. Durango Street « Phoenix, AZ 85009
Phone: (602) 506-4889

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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: Keloowt tAnge/ Molto

Mailing Address: Yl0d £ . Wiindstone tel
City: Cave Creel State: 4. Zz. Zip: BS3z7/

Phone (486 .)-92!_ - Xb/o Email: basaltbulolers Ne. @gmax/. con,
eR Parcel Detail ;
Assessor's Parcel Number: A/(p- G7 - OFA

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

G1°0 £. indstme trl
Cave Creede Ke 967 33)

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

Abondin Casment loowdert ian the-west—s1 tof parce

Ht Ale ~let- OLOA

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.

Signature of Applicant Date
: Maricopa County‘Use Only \
PAB Number: \
Initial Determination Fee*: $250.00
check #105 Total recenved: b1SO-22 pate:'{l2/ v3 Rec'd By: cy

* 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 #: 101317
ROBERT JOSEPH MOLITOR / ANGELA JUNE Payment Date: 41712023
Monroe Receipt Type: Patent Easements
6700 E WINDSTONE TRL
Reference #: PATENT EASEMENT ABANDONMENT APN
CAVE CREEK, Arizona 85331 216-67-040A
Description Payment Type Transaction # Amount
PATENT EASEMENT ABANDONMENT // APN 216-67-040A // | Check 105! $250.00
ROBERT & ANGELA MOLITOR | |

Total:| $250.00