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2021/11/22 - LAND USE - SUB - Certified Survey Map - SUB-21-116
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2021/11/22 - LAND USE - SUB - Certified Survey Map - SUB-21-116
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Last modified
1/28/2022 11:34:04 PM
Creation date
11/22/2021 8:35:01 AM
Metadata
Fields
Template:
Property Files v2
Document Date
11/22/2021
Document Type 1
LAND USE
Document Type 2
SUB
Document Type 3
Certified Survey Map
County Permit Number
SUB-21-116
Tax ID
5451
36006
36007
Pin Number
07-012-2-40-15-21-1 04-000-011000
07-012-2-40-15-21-1 04-000-011100
07-012-2-40-15-21-1 04-000-011500
Legacy Pin
012422101400
Municipality
TOWN OF JACKSON
TOWN OF JACKSON
TOWN OF JACKSON
Owner Name
THOMAS & JANICE DERRICK TRUST
THOMAS & JANICE DERRICK TRUST
THOMAS & JANICE DERRICK TRUST
Property Address
28217 COUNTY RD C
28217 COUNTY RD C
City
WEBSTER
WEBSTER
State
WI
WI
Zip
54893
54893
Previous Owners
THOMAS & JANICE DERRICK TRUST
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BURNETT COUNTY CSM CHECK SHEET Comments sent/revised/map received dates <br /> XO.K.to record 110 9/ 1' li <br /> 7 RPG .S>77/.d <br /> ❑ Changes needed-then O.K.to <br /> record eN4 �P� 0 <br /> ❑ Changes needed—Final review necessary($100 fee) --o <br /> P�/4� j <br /> / Town qe f Rang SF — V / K 4 -c ////9/z-( <br /> Section �` Location <br /> Surveyor: Wet? I(Qd/ cic:::...)ate of Survey: <br /> Land Owner or Orflered by: ovine I' <br /> Zoning Review <br /> j/Proper fee paid?$200+$50/lot or outlot new parcels, $50/lot existing parcels.PD. 25-0 . ��— <br /> No fee if a CSM is used when not required. Ex.: Split a 40 into E'h&W'/z by CSM— o Fee. <br /> Has the CSM been approved by the Land Use/Zoning Department?Date: 0,/19 zo Z( <br /> 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 /> the date the field work was completed? A-E 7.05 (7) <br /> 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 /> Is 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) ) (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 /> Ar <br /> in square feet of each lot and outlot shown?236.20(2)(j) <br /> Is a 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 /> 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 /> Is there a graphic scale on all sheets that show layout features? (Not to exceed 500'to an inch)236.34(1)(c) <br /> (inc uding 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 /> hip,range, and county noted?236.34(1)(c) <br /> av ou included the"Certificate of the Surveyor"who did the survey?236.34(1)(d) <br /> 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 /> anetity—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 /> irt-h-eck the description with the map. <br /> Ai Alf 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 />
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