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' BURNETT COUNTY CSM CHECK SHEET Comments sent/revised/map received dates <br /> O.K.to record 1� '1 ZL �/1� gee /O/Z//2.02 Z <br /> ❑ Changes needed-thin O.K.to/'ecord amE.,l 0 3 <br /> �-vt� �n�' l 02 <br /> ❑ Changes needed—Final review necessary($100 fee) ��17 re--c-re--c- // ZpZ,Z_ <br /> Section 3(Town Range /Location 61G / <br /> C ' �'/ <br /> Surveyor: AI e,.e d' Date f Survey: <br /> Land Owner or Ordered by: A/4;dehiept. hiepici Nf <br /> Zoning Review o0 <br /> 14 P/ep er fee paid? $200+ $50/lot or outlot new parcels, $50/lot existing parcels.PD. 5�� <br /> fee if a CSM is used when not required. Ex.: Split a 40 into E'A&W %2 by CSM—No Fee. <br /> Has the CSM been approved by the Land Use/Zoning Department?Date: ///y/ZD Z Z <br /> s 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 /> 1�s 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 /> Is the exterior of the parcels surveyed clearly shown on the map. (dark—heavy lines)236.20(2) <br /> �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 /> 1/"Aere all of the lots and outlots consecutively numbered?236.20(2)(e) <br /> s t e area in square feet of each lot and outlot shown?236.20(2)(j) <br /> Is the map on 8.5"x 14"durable white paper?236.34(1)(c) <br /> v <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 /> Is"CERTIFIED SURVEY MAP"printed on the map in prominent letters?236.34(1)(c) <br /> here 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 /> township,range,and county noted?236.34(1)(c) <br /> iVgarN.:e you included the"Certificate of the Surveyor"who did the survey?236.34(1)(d) <br /> �oes 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 /> V.--Le <br /> entity—must show entity,authorized agent and title of authorized agent <br /> // Are all the exterior boundaries of the land surveyed and divided shown?236.20(2)(a) <br /> Check the description with the map. <br /> Q/if.If a CSM is under the proposed CSM,make sure the prior Lot and or Outlot#,Map#and CSM Volume and Page <br /> 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 />