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BURNETT COUNTY CSM CHECK SHEET Comments sent/revisedis /map received dates <br /> )I O.K.to record q / Z, !// A.._ z/L l Z/ <br /> ❑ Changes needed- O. to record Cipi„^ma evk at'(t. 2.(z4--- <br /> CI Changes needed–Final review necessary($100 fee) <br /> Z/W-/570/ffiel 6/46,7 per- 40/ziew <br /> Section 33 Town ;P'Range /�p Location tvi:tr— <br /> Surveyor: Aeje,44 SoK Date of Survey: <br /> Land Owner or Ordered by: R yo to <br /> Zoning Review <br /> 00 <br /> Wiper fee paid? $200+$50/lot or outlot new parcels, $50/lot existing parcels.PD. .�/ <br /> Ng fee if a CSM is used when not required. Ex.: Split a 40 into E'/2&W%z by CS –No Fee. <br /> 7,N94 <br /> Has the CSM been approved by the Land Use/Zoning Department?Date: 9 / ZOZ-/ <br /> J/ Is the Zoning text on the map? Signature block for the Zoning Administrator and SPS 383 note. Per BC Ord. 58-54 <br /> (h)OR DOES IT FALL UNDER 58-150"EXCLUSIONS"(existing lot, sale and exchange,court ordered transfers, <br /> assessors plat,cemetery plat-not requiring Zoning block) <br /> Surveyor Review <br /> sr-Does the Surveyor have a current PLS license? Is the professional surveyor's name and address shown,along with <br /> the date the field work was completed? A-E 7.05 (7) <br /> els there a 3 inch by 3 inch blank space in the upper right hand corner?59.43 (2m)and per BC Ord. 58-159 (a) <br /> 4/5"-the exterior of the parcels surveyed clearly shown on the map. (dark–heavy lines)236.20(2) <br /> IAre there 4 parcels or less including Outlots?Public dedications and public ROW do not count as parcels. 236.34 <br /> (1)(am) (or could it fall under the expanded use of a CSM?)236.34(1)(ar) <br /> fire all of the lots and outlots consecutively numbered?236.20(2)(e) <br /> vthe area in square feet of each lot and outlot shown?236.20(2)(j) <br /> Is the map on 8.5"x 14"durable white paper?236.34(1)(c) <br /> s there a 1.5"wide binding margin on the left or upper end and a 0.5"margin on all other sides?236.34(1)(c) <br /> 0,-"Are the sheets consecutively numbered and containing a notation giving the total number of sheets, showing the <br /> relationship of one sheet to the other sheets?236.34(1)(c) <br /> ✓ is"CERTIFIED SURVEY MAP"printed on the map in prominent letters?236.34 (1) (c) <br /> s there a graphic scale on all sheets that show layout features? (Not to exceed 500' to an inch)236.34(1) (c) <br /> (inclu ing location sketch or"not to scale") <br /> s the location of the land denoted by government lot,recorded private claim,quarter-quarter section, section, <br /> township,range, and county noted?236.34(1)(c) <br /> j/gave you included the"Certificate of the Surveyor"who did the survey?236.34(1)(d) <br /> j/5-oes the map indicate the name of the person dividing or selling the land?236.34(1)(d)and BC Ord. 58-159(b)if <br /> an entity–must show entity,authorized agent and title of authorized agent <br /> Are all the exterior boundaries of the land surveyed and divided shown?236.20 (2)(a) <br /> /...-<1–ieck the description with the map. <br /> 4 / If a CSM is under the proposed CSM,make sure the prior Lot and or Outlot#,Map#and CSM Volume and Page <br /> must be listed in the heading. 236.34(3) <br /> Check legend: size(outside diameter, length,weight per lineal foot)and material of monuments set(at least 18"x 1" <br /> diameter or solid square or round iron bars less in diameter,minimum weight 1.13/ft), are all monuments on the map <br /> accounted for on the legend?236.15 (1)(c) <br />