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BURNETT COUNTY CSM CHECK SHEET Comments sent/revised/map received dates <br /> O.K.to record g/2-f9/Z49 2/ 1/7/ « g/3 2 Z�-/❑ Changes needed-then .to recd 6p pi PA CH Q4., 8A4 <br /> ❑ Changes needed—Final review necessary($100 fee) r 3"z/z-o&,i <br /> Section g Town 3 9 Range I(0 Location 5IA) —Ai k) <br /> Surveyor: I<,/'a 145' Date of Survey: <br /> Land Owner or Ordered by: l//e ,t cle...-Y' <br /> / Zoning Review <br /> V/Proper fee paid? $200+ $50/lot or outlot new parcels, $50/lot existing parcels.PD. 300-'� <br /> No fee if a CSM is used when not required. Ex.: Split a 40 into E %2&W %z by CSM—No Fee. <br /> CSM been approved by the Land Use/Zoning Department?Date: 8.724/00 Z/ <br /> 1. -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 /> ✓ Does the Surveyor have a current PLS license? Is the professional surveyor's name and address shown, along with <br /> t15-date the field work was completed? A-E 7.05 (7) <br /> r/Is 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 /> VIs the exterior of the parcels surveyed clearly shown on the map. (dark—heavy lines)236.20(2) <br /> ✓Are 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 /> Ar all of the lots and outlots consecutively numbered?236.20 (2)(e) <br /> Is t area in square feet of each lot and outlot shown?236.20(2)(j) <br /> s the map on 8.5"x 14"durable white paper?236.34(1) (c) <br /> /,Is 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 /> ✓ 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 /> .4-s--"CERTIFIED SURVEY MAP"printed on the map in prominent letters?236.34(1)(c) <br /> ✓ Is there a graphic scale on all sheets that show layout features? (Not to exceed 500'to an inch)236.34(1)(c) <br /> (including location sketch or"not to scale") <br /> ✓ Is 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 /> e you included the"Certificate of the Surveyor"who did the survey?236.34(1) (d) <br /> t/ Does 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 /> i7-..—Are all the exterior boundaries of the land surveyed and divided shown?236.20 (2) (a) <br /> V.Check the description with the map. <br /> y/AIf a CSM is under the proposed CSM,make sure the prior Lot and or Outlot#,Map#and CSM Volume and Page <br /> I 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 />