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BURNETT COUNTY <br /> TY CSM CHECK SHEET Comments sent/revised/map received dates <br /> T�7 / <br /> Rex- 1(424 XO.K.to record i /`/l/7(/ / <br /> ❑ Changes needed-t en O.K.to r cord G,/j,a44,G44 e„mp/ki //p/ZZ <br /> ❑ Changes needed-Final review necessary($100 fee) ye., G <br /> `Z.) r yi f �,,d / <br /> ),- c //fhZ___, <br /> Section 7i?Town 0 Range /eP Location�LN <br /> Surveyor: /<I11U5G Date of Survey. <br /> Land Owner or Ordered by: D , ' 04 i/ 44.0 <br /> Zoning Review B <br /> ✓roper fee paid?$200+$50/lot or outlot new parcels, $50/lot existing parcels.PD. /0© �- <br /> < <br /> Noee if a CSM is used when not required. Ex.: Split a 40 into E %2&W 1/2 by CSM-No Fee. <br /> zHas the CSM been approved by the Land Use/Zoning Department?Date: ///V/ i9 Z Z— <br /> sthe 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 /> s 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 /> ,/Are all of the lots and outlots consecutively numbered?236.20(2) (e) <br /> ,/fs te 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 /> 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 /> V 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 /> 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 /> ✓ve you included the"Certificate of the Surveyor"who did the survey?236.34(1)(d) <br /> 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 /> �e all the exterior boundaries of the land surveyed and divided shown?236.20(2)vflieck the description with the map. <br /> AI/A <br /> If a CSM is under the proposed CSM,make sure the prior Lot and or Outlot#,Map#and CSM Volume and Page <br /> m 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 />