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BURNETT COUNTY CSM CHECK SHEET Comments sent/revised/map received dates <br /> �,Z� ,T Re_c_ �1 i/zo z 3 <br /> O.K.to record ,S/ / / <br /> / I �AIA/ / <br /> Changes needed-then O.K.to record ,Ail,) �N�Ilul f1 Cwlg1*/ ✓'r73/Z3 <br /> ❑ Changes needed—Final review necessary($100 fee) / <br /> '/ 4 3 t`' csli4 !lt/07 �'NQ( rtc. ..r/y/Z3 <br /> Section �Town 7 O Range /4'Location L `f-7 cyM ii bit' <br /> Surveyor: KV`et u s-e--- Date of Survey: <br /> Land Owner or Ordered by: 0 k o i'S <br /> Zoning Review 00 <br /> roper fee paid? $200+$50/lot or outlot new parcels, $50/lot existing parcels.PD. 3 0 0 ' <br /> No if a CSM is used when not required. Ex.: Split a 40 into E %2&W '/z by CSM—No Fee. <br /> Has the CSM been approved by the Land Use/Zoning Department?Date: . c z0?___.3Is the Zoning text on the map? Signature block for the Zoning Administrator an 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 /> 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 /> 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 /> /AS the tenor 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 /> ?//Are 11 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 /> the map on 8.5"x 14"durable white paper?236.34(1)(c) <br /> tlle- <br /> vIs <br /> lj 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 /> VA-re 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 /> Vs 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 /> v✓ Is the location of the land denoted by government lot,recorded private claim,quarter-quarter section, section, <br /> t�o nship,range, and county noted?236.34(1)(c) <br /> Hay you included the"Certificate of the Surveyor"who did the survey?236.34(1)(d) <br /> 1 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 /> Are 11 the exterior boundaries of the land surveyed and divided shown?236.20(2)(a) <br /> the description with the map. <br /> 12eek <br /> If a SM is under the proposed CSM,make sure the prior Lot and or Outlot#, Map#and CSM Volume and Page <br /> n3 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 />