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BURNETT COUNTY CSM CHECK SHEET Comments sent/revised/map received dates <br /> ``,• O.K.to record /i /zoz fikl-1 �����;; � 2-Az-AV <br /> ■ Changes needed-the O.K.toord G°r'"`�``{'" `'"„�" <br /> ❑ Changes needed—Final review necessary($100 fee) �/ pox _ 2/I9/Z f <br /> u+lse / <br /> Section -3 6'Town It° Range /7 Location CM IM,eAk fS e.�na'(d 3�c7Z7 <br /> Surveyor: KrckIA'. Date of Survey: nAgt rem //5/2.r <br /> Land Owner or Ordered by: Pu N/me/Ay wi <br /> Zoning Review <br /> l�Proper fee paid? $200+ $50/lot or outlot new parcels, $50/lot existing parcels. PD. 4/e)C/ , <br /> No ' a CSM is used when not required. Ex.: Split a 40 into E 1/2 &W '/2 by CSM—No Fee. <br /> Has the CSM been approved by the Land Use/Zoning Department?Date: 3//?/ZoZ.,`f <br /> 1/[s 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 /> e 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 /> VI's the exterior of the parcels surveyed clearly shown on the map. (dark—heavy lines) 236.20(2) <br /> LAre 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 /> iZis the area in square feet of each lot and outlot shown?236.20(2)(j) <br /> s he 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 /> ✓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"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 /> 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 /> ✓a 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 /> 7- <br /> ✓ all the exterior boundaries of the land surveyed and divided shown?236.20(2) (a) <br /> 1Z Check the description with the map. <br /> LA-fa CSM is under the proposed CSM, make sure the prior Lot and or Outlot#,Map#and CSM Volume and Page <br /> 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 />