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BURNETT COUNTY CSM CHECK SHEET Comments sent/�� revised/map received dates <br /> ��O.K.to record �e., /f3ozI <br /> / / <br /> ❑ Changes needed-the O.K.to ecord Cetio� w1.eAA/5 e,.,tpiY 2/8 Lq <br /> ❑ Changes needed-Final review necessary($100 fee) / <br /> p � �sIM V,�/ylZ�f G xa/ kec, Z717Z <br /> Section g ( Town 38'Range /6 Location iV W-NUJ S�e_-4 ( � ( / <br /> Surveyo : Ky t e_ Date of Survey: <br /> Land Owner or Ordered by: (n cth Y.t/- <br /> Zoning Review cs).6, <br /> Proper fee paid? $200+ $50/lot or outlot new parcels, $50/lot existing parcels. PD. 3 CO A <br /> No if a CSM is used when not required. Ex.: Split a 40 into E '/2&W 'h by CSM-No Fee. <br /> as the CSM been approved by the Land Use/Zoning Department?Date: / W a <br /> lf <br /> L.---‘the Zoning text on the map? Signature block for the Zoning Administrator and 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 /> i 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 /> Is the 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 /> !/ Are all of the lots and outlots consecutively numbered?236.20 (2) (e) <br /> s t rea 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 /> 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 /> �e 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 /> s"CERTIFIED SURVEY MAP"printed on the map in prominent letters?236.34 (1) (c) <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 /> �s 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 /> /ave you included the"Certificate of the Surveyor"who did the survey?236.34(1) (d) <br /> Y 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 /> 1-all the exterior boundaries of the land surveyed and divided shown?236.20 (2) (a) <br /> //61eck 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 /> mus -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 />