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BURNETT COUNTY CSM CHECK SHEET <br /> Date received: <br /> XO.K.to record <br /> ❑ Changes needed -then O.K.to record <br /> ❑ Changes needed—Final review necessary($100 See) <br /> Section Z1 Town� p <br /> Range �O Location 65/yl L'. `� ,y //T CSrJ I /C P 16ez CS!✓J <br /> Surveyor: rr%v'k Kr nir Sy <br /> Date of Survey: j / <br /> Land Owner or Ordered by: �FSSukoyeoAfi —F",hyC,//,, <br /> _Proper fee paid? $200+$50/lot or outlot new parcels, $50/lot existing parcels. <br /> Has the CSM been approved by the Land Use/Zoning Department?Date: �'/�a <br /> ., e there 4 parcels or less including Outlots? Public dedications and p blic ROW do not / <br /> parcels. 236.34 (1) eM/YIeo7 ! e <br /> ,,I A/re�all of the lots and outlots consecutively numbered? 236.20 (2) (e) <br /> l/ Is the area in square feet of each lot and outlot shown? 236.20 (2) 0) and 66 Op. Att' Gen. <br /> Is the map on 8.5"x 14"durable white paper? 236.34 (1) (c) (%e.vrs 54wf5 <br /> �wailad Mark- co r <br /> Y Is there a 1.5"wide binding margin on the left or upper end and a 0.5"mar in on a �� <br /> 236.34 (1)(c) z-Ur'v A Aq M "' 3 to X <br /> Is there a 3 inch by 3 inch blank space for use by the Register of Deeds int u er ight <br /> corner? 59.43 (2m) and per BC Subd. Ord. 6.14 '�nM /Y;6 nH 3/3o�C <br /> ,0/0 Is the font at least 10 point in size?This is voluntary! <br /> W 3 Q Rpviszl A��rec cn 9 <br /> Is the toning to t on the map? Signature block for the Zoning Adminis or and Comm 83 note. Per <br /> BC Subdd. Ord.,3.j(G). <br /> Ah6 ' 3�//D <br /> re t sheet consecutively numbered and containing a notation giving the total number of sheets, <br /> showing the relationship 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 /> sthere a graphic scale on all sheets that show layout features? (Not to exceed 500' to an inch) <br /> 236.34 (1) (c)23 <br /> il Is theellocation of the land denoted by government lot,recorded private claim, quarter-quarter section, <br /> section, township, 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 /> JZ Does the map iinndi ate the name of the person dividing or selling the land? 236.34 (1) (d) <br /> (/Are A the eeteFi6r bldaries of the land surveyed and divided shown?236.20 (2) (a) <br /> I/ Check the description with the map. <br />