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Jf <br /> BURNETT COUNTY CSM <br /> CHECK SHEET Comments sent/re <br /> vised/map received dates <br /> O.K.to record jig Z/ //J l c� 1 � <br /> , dot-t K.f cc to w <br /> ❑ Changes needed-t en .K.to cord ( /al/ <br /> 0 Changes needed—Final review necessary($100 fee 3 S ev�f- t-1M.a i torn 12 Z3 <br /> aL 1+ $11) R w►s� Q� ,^CL I Z jz�jz3 <br /> Section3 VITown 3°e ange/(0 Location Oft -`'�3� &tA/1 h t,,i„"h e w�cu led I2/ZS/i3 <br /> Surveyo It It t S c Date of Survey: <br /> Land Owner or Ordered by: T r/e ^ 6 aG/ /, 2$�3 <br /> Zoning Review <br /> Proper fee paid?$200+ $50/lot or outlot new parcels, $50/lot existing parcels.PD. 0, <br /> N if a CSM is used when not required. Ex.: Split a 40 into E %z&W %2 by CS — o Fee. <br /> Has the CSM been approved by the Land Use/Zoning Department?Date: / Ze Z/ <br /> Is 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 /> 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 /> 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 /> 1./.-1; 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 /> /7A—re 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 /> / s th map on 8.5"x 14"durable white paper?236.34(1)(c) <br /> Is ere 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 /> " ERTIFIED SURVEY MAP"printed on the map in prominent letters?236.34(1)(c)Is ) <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 /> L/Ictirie location of the land denoted by government lot,recorded private claim, quarter-quarter section, section, <br /> tow 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 /> 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 ntity—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 /> heck the description with the map. <br /> AI <br /> If a CSM is under the proposed CSM,make sure the prior Lot and or Outlot#,Map#and CSM Volume and Page <br /> m 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 />