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" BURNETT COUNTY CSM CHECK SHEET Comments sent/revised/map received dates <br /> /O.K.to record �� Zz" 71 <br /> gee, -37z.2/2e z_2-- <br /> I Changes needed-th O.K.to r cord Co m .--- , gI7Cv �3 /&oZz <br /> E Changes needed—Final review necessary($100 fee) 7 <br /> L -M 3Y ii Et?a q/ re_c— 10i/2-C—Z%Z.______ <br /> Section /5. Town YO Range i( Location �n N K /r V V, <br /> Surveyor: ' • Date of Survey: <br /> Land Owner or Ord-red by: 1' i 147C4--- <br /> Zoning <br /> 470Zoning Review <br /> Proper fee paid? $200+ $50/lot or outlot new parcels, $50/lot existing parcels. PD. 47,50 i <br /> ffee if a CSM is used when not required. Ex.: Split a 40 into E '/s &W 'h by CSM—No ee. <br /> r/ Has the CSM been approved by the Land Use/Zoning Department?Date: / 20a Z_ <br /> Vis—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 /> oes 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 /> 1/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 /> 1./Are all of the lots and outlots consecutively numbered?236.20 (2) (e) <br /> ✓ Is the ea in square feet of each lot and outlot shown? 236.20 (2) (j) <br /> f s the map on 8.5"x 14"durable white paper?236.34 (1) (c) <br /> l 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 /> �e the sheets consecutively numbered and containing a notation giving the total number of sheets, showing the <br /> re tionship 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 /> 1/.‘t—he 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 /> 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 /> L,/--A-re all the exterior boundaries of the land surveyed and divided shown?236.20 (2) (a) <br /> 1V6heck the description with the map. <br /> j/f'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 /> i/Gieck 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 />