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I <br /> • <br /> -r 5/0- Pk <br /> . c 5/ v-- <br /> BURNETT COUNTY CSM CHECK' SHEET Comments sent/revised/map received dates <br /> X0.K.to record 'f i /ZIP Z Z //� eGG 672-V2.ZElChanges needed then .K. record Comitte l /(el 7fr <br /> ❑ Changes needed—Final review necessary($100 fee) <br /> (iota( (,tw 7(/2( 1 <br /> Section Z.gTown /I Range /I/ Location SA- —4/1,L) � rl�t� <br /> Surveyor: v1 C- Date of Survey: °,I OW /(1)(a <br /> Land Owner or Ordered by: K ' Ltt,4.J, w is road. a <br /> Zoning Review / <br /> roper fee paid? $200+ $50/lot or outlot new parcels, $50/lot existing parcels. PD. 700,495 <br /> Z c5wlt <br /> No lee if a CSM is used when not required. Ex.: Split a 40 into E '/2 &W 'h by CSM—No Fee. <br /> I/Has the CSM been approved by the Land Use/Zoning Department?Date: *7 �d Z z__Is the Zoning text on the map? Signature block for the Zoning Administrator and SP 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 /> iXDoes 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 t ere 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 /> Y :e 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 /> VA-re all of the lots and outlots consecutively numbered?236.20 (2) (e) <br /> Is area in square feet of each lot and outlot shown? 236.20(2) (j) <br /> Is the <br /> map on 8.5"x 14"durable white paper?er?236.34 (1) (c) <br /> I s�t <br /> re 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 /> Are 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 /> )eluding 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 /> ttoo nship,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 /> 71 the exterior boundaries of the land surveyed and divided shown?236.20 (2) (a) <br /> Check the description with the map. <br /> ,ii/ 'If a CSM is under the proposed CSM,make sure the prior Lot and or Outlot#, Map#and CSM Volume and Page <br /> I e 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 />