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, Let. /I( <br /> BURNETT COUNTY CSM CHE,,CK SHEET Comments sent/revised/map received dates <br /> O.K. no dit oil.- V tg 46 c_ 04_._ , <br /> to record5/Y°7-11/ t 3 3 . -16 <br /> ❑ Changes needed- n O . to record e wleided i /OZdZZ <br /> ❑ Changes needed-Final review necessary($100 fee) <br /> ., NW NO-NI"J ,/Nd/"sc. SX VZ-D Z- <br /> Section / Town 39 Range /& LocationGrL/ S 10-,vi. <br /> Surveyor: CA-A N tr Date of Survey: <br /> Land Owner or Ordered by: C.4,t( IMO <br /> Zoning Review .190 <br /> �}� <br /> 1 Proper fee paid? $200+ $50/lot or outlot new parcels, $50/lot existing parcels. PD. �.J(2 i <br /> No ee if a CSM is used when not required. Ex.: Split a 40 into E '/2 &W 'h by CSM-No Fee. <br /> Y Has the CSM been approved by the Land Use/Zoning Department?Date: 57/T--/Z0 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 /> Lico-es 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 /> V 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 /> iris the exterior of the parcels surveyed clearly shown on the map. (dark-heavy lines)236.20(2) <br /> is"--'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 /> 1/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 /> vre 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 /> "CERTIFIED SURVEY MAP"printed on the map in prominent letters?236.34 (1) (c) <br /> Vis-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 /> vg-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 /> 1,4ave 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 /> //Ire all the exterior boundaries of the land surveyed and divided shown?236.20 (2) (a) <br /> V heck the description with the map. <br /> ,tjIf a CSM is under the proposed CSM,make sure the prior Lot and or Outlot#, Map#and CSM Volume and Page <br /> � I mu t 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 />