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BURNETT COUNTY CSM CHECK SHEET Comments sent/revised/map received dates <br /> O.K. to record �/�9 7.07�� /i7/ I TZ-7/5Z3❑ Chan es needed-`the O.K.to rd '/ <br /> ❑ Changes needed—Final review necessary($100 fee) �� vl a <-`'` ( Z� <br /> GB113 8' Aqs$ f mq/ 1/-7 II? <br /> Section 1 rTown CO Range /5- Locationl - /h*ec. (2.. . <br /> Surveyor: /44€.-'e-r Date of Survey: <br /> "Land Owner or Ordered by: CI ►" ^ <br /> Zoning Review$50/lot existing parcels. PD. �oc 0 <br /> D <br /> roper fee paid? $200+ $50/lot or outlot new parcels, <br /> No fee if a CSM is used when not required. Ex.: Split a 40 into E '/2 &W '/2 by CS —No Fee. <br /> Has the CSM been approved by the Land Use/Zoning Department?Date: / /7 7,0 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 /> V-oes 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 /> 67 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 all of the lots and outlots consecutively numbered?236.20 (2) (e) <br /> 1/11.— <br /> e area in square feet of each lot and outlot shown?236.20(2) (j) <br /> he map on 8.5"x 14"durable white paper?236.34 (1) (c) <br /> 1/1�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 /> 1/ 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:` ERTIFIED SURVEY MAP"printed on the map in prominent letters? 236.34 (1) (c) <br /> I/ IIss 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 /> 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 /> ✓ LOes 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 /> Check the description with the map. <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 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 />