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r <br /> BURNETT COUNTY CSM CHECK SHEET Commentso sent/revised/map received dates <br /> O.K.to record /� �� F /6/d/te � <br /> �e • z2 p <br /> ❑ Changes needed-t en O K.to rec d C-(pgpire e-M�`.er- r c SeiVem 10g2L <br /> ❑ Changes needed—Final review necessary($100 fee) p f�/ rez- /%„ /L,Z_ <br /> Section ZT Town ,3?Range / Location Cm AIM 1i A1-, 2.w1a, � /o7/4Z a <br /> Surveyor: K►^a u C.c-- Date of Survey: T j Nq/ t'v. /o/f� 714 Z <br /> Land Owner or Ordered by: "j.e.4 <br /> Zoning Review <br /> o^ <br /> Pro fee paid?$200+ $50/lot or outlot new parcels, $50/lot existing parcels.PD. 3.517, <br /> fee if a CSM is used when not required. Ex.: Split a 40 into E %2&W Y2 by CSM—No Fee. <br /> Has the CSM been approved by the Land Use/Zoning Department?Date: /0/20 Z 'Z <br /> 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 /> t/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 /> Y `s 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 /> vIs 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 /> Is�the area in square feet of each lot and outlot shown?236.20(2)(j) <br /> 1/Is the map on 8.5"x 14"durable white paper?236.34(1)(c) <br /> s�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 /> ✓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 /> s"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 /> to 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 /> 1., 15oes 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)(a) <br /> i/ Check the description with the map. <br /> Af a CSM is under the proposed CSM,make sure the prior Lot and or Outlot#,Map#and CSM Volume and Page <br /> zmstbe listed in the heading. 236.34 (3) <br /> ck 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 />