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BURNETT COUNTY CSM CHECK SHEET Comments sent/revised/map received dates <br /> ic�G`c �ZZ/Z <br /> XO.K.to record 3/ ZOZV�'4� r <br /> ❑ Changes needed-t en O.K.t6 record ) t� <br /> g �Ivi M eA U^�add 3/5/Z/ <br /> ❑ Changes needed-Final review necessary($100 fee) <br /> 3 g' ,,,� 1Q i u m v el' FHq/ Ye_c- 3/SAV <br /> Section .S. Town Range/4o Location fp.169 <br /> Surveyor: K t^ct N S►c- Date of Survey: <br /> Land Owner or Ordered by: .feet vt, C.L.,---- <br /> Zoning Review <br /> Z CS� J <br /> S <br /> roper fee paid?$200+$50/lot or outlot new parcels, $50/lot existing parcels.PD. 749d• <br /> No fe I a CSM is used when not required. Ex.: Split a 40 into E%2&W %2 by CSM-No Fee. <br /> as the CSM been approved by the Land Use/Zoning Department?Date: re Zy <br /> s the Zoning text on the map? Signature block for the Zoning Administrator and PS 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 lloes 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 /> V 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 /> l/‘the exterior of the parcels surveyed clearly shown on the map. (dark-heavy lines)236.20(2) <br /> 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 /> r/Are all 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 /> 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 /> ✓A-'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 /> Is"CERTIFIED SURVEY MAP"printed on the map in prominent letters?236.34(1) (c) <br /> l 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 /> Is the location of the land denoted by government lot,recorded private claim,quarter-quarter section, section, <br /> to nship,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 /> 6 6oes 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 /> A ll the exterior boundaries of the land surveyed and divided shown?236.20(2)(a) <br /> Che 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 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 />