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BURNETT COUNTY CSM CHECK SHEET Comments sent/revised/map received dates <br /> O.K.to record 2//04 z2 d/ /' Re c �`f/Z2-- <br /> ❑`Changes needed-then O.K.to reco "/ 2. Z <br /> �oMs�CN7� e�al(l'� /g/ 2-- <br /> ❑ Changes needed—Final review necessary($100 fee) Gr <br /> 40 i"g. , 'rl q/ r c 2/ 00 a_2._ <br /> Section 33 Town 31 Range /4' Location '4a r-1c, . '1-ueds <br /> Surveyor: `4 u$ Date of Survey: <br /> Land Owner or Ordered by: -tom t .s <br /> Zoning Review 06 <br /> oper fee paid?$200+ $50/lot or outlot new parcels, $50/lot existing parcels.PD. 30�• <br /> Noee if a CSM is used when not required. Ex.: Split a 40 into E'/2&W '/2 by CSM—No Fee. <br /> Has the CSM been approved by the Land Use/Zoning Department?Date: 21/4/ZO Z2_ <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 /> noes 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 /> 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 /> V-A-re all of the lots and outlots consecutively numbered?236.20(2) (e) <br /> Is the area in square feet of each lot and outlot shown?236.20(2)(j) <br /> 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 /> Ve 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 /> frrfs-"CERT1FIED 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 /> tow8 ship,range,and county noted?236.34(1)(c) <br /> Have you 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 /> an entity—must show entity, authorized agent and title of authorized agent <br /> V.A.-re all the exterior boundaries of the land surveyed and divided shown?236.20(2)(a) <br /> Check the description with the map. <br /> f a CSM is under the proposed CSM,make sure the prior Lot and or Outlot#,Map#and CSM Volume and Page <br /> mu be listed in the heading. 236.34(3) <br /> ICheck 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 />