2023-09-06_1-PAB-0235- PC 314 -APPLICATION.PDF

MARICOPA COUNTY DEPARTMENT OF TRANSPORTATION

2901 W. Durango Street e 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.
L Contact Information J

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Applicant ‘0 Robert ‘Angele x alter nvestrends f ‘epap Number: OF 3 5

Mailing Address: G700 E. Windstone. Tr/

city:_ Cave Creek state:_ AZ. zip: BOS Z/

Phone (Go) -25/ . Lb/o Email: basalthuj Mdersl/e @ Gites L. con
[ Parcel Detail = _ J

Assessor‘s Parcel Number: Alb : lol - O4Dk

1. Location of Request: (ex: 3200 W. Dove Valley Road, Phoenix)
(ol E, Winstone Trl. Cave Creek Az 8533/

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

Abandonnaent of te AS LL of the raising the 36 rf the pitert- easement gccert

fer the Sovth OB EIFL of the west propertyline BP APN (s/6-G7-040A
+ Applicant is REQUIRED to be the current owner of the descr/bed 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.

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
wiil 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.

L Robert t Angele Malidoraves 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 Expigps; AMBER HARKINS
Notary Public - Arizona

Maricopa County

rl day of Wine 2023 Commission # 607883
Sit” my Comm, Expires Jul 13, 2025
Notary Public
[ Sy Signature : " 7
a bene oO A024
Date ,
Coa Maricopa County Use Only _. j a J
Application Fee*: $1,600
Check #: Total Received: Date: Rec'd By:

*Application Fee will be $1,350 ($1,600 less $250) if Initial Determination letter is provided: it ji ‘
of the parcel was conducted by the County within the last six months. The application fee is NOT retungeee Make sree

payable to: MCDOT 2901 West Durango Street Phoenix, AZ 85009,

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

Receipt
Payer Name: Receipt #: 101387
ROBERT MOLITOR Payment Date: 6/27/2023
6700 W WINDSTONE TRAIL Receipt Type: Patent Easements

CAVE CREEK, Arizona 85331 Reference #: PATENT EASEMENT - PAB0235 / APN 316-67-

040A
Description Payment Type Transaction # Amount
PATENT EASEMENT - PAB0235 / APN 316-67-040A / ROBERT Credit Card |

| 3853642772 $1,350.00]
|MOLITOR

Total:| $1,350.00)

MCDOT Permits

Thank you for your payment.

Please print this receipt and keep it for your records.

Maricopa County
Department of Wansportation

Clerk ID : LJACOBSON

Customer Name : ROBERT MOLITOR

Reference Number : PAB0235 / APN 216-67-040A

Product Description Payment Amount
Patent Easements 1 $1,350.00

Receipt Number: 3853642772

Transaction Date: 06/27/2023 09:34 AM

Payment Type: Ca

Account Number: *1631

JX Qee Welter ay

l agree to pf his obligation according to the terms oullined In my agreement with my card issuer.

Payment Amount: $1,350.00