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BURNETT COUNTY CSM C ECK SHEET Comments sent/revised/map received dates <br /> AO.K.to record 3 I1 z1 / �icl 3/c/Z� <br /> ElChanges needed-t n .K.to r ord C-490^ Cage,/?CC/ 3 if-Z. <br /> E Changes needed-Final review necessary($100 fee)s 3If 61/ G44 ' //taf 3 l9 z <br /> Sectiorol/)Town 3? <br /> Range/Ce Location 5Z7 50-5E <br /> Surveyor. Kom u 5 4-- Date of Survey: <br /> Land Owner or Ordered by: f.ra vt.7--ct <br /> � Zoning Review �� <br /> L Proper fee paid? $200+ $50/lot or outlot new parcels, $50/lot existing parcels. PD. <br /> N ee if a CSM is used when not required. Ex.: Split a 40 into E ''A &W 'A by CSM-No Fee. <br /> Has the CSM been approved by the Land Use/Zoning Department?Date: 3/// 7 5 <br /> 1 Is the Zoning text on the map? Signature block for the Zoning Administrator and SPS 3 3 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 /> 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 ) (or could it fall under the expanded use of a CSM?)236.34(1) (ar) <br /> Are 11 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 /> s th e 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 /> rela nship 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 /> ( ding location sketch or"not to scale") <br /> L/ Is the location of the land denoted by government lot,recorded private claim, quarter-quarter section, section, <br /> tower 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 entity-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 /> fr C--1e-c-k---the description with the map. <br /> A)fr 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 />