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BURNETT COUNTY CSM CHECK SHEET Comments sent/revised/map received dates <br /> XO.K. to record 7/1/0.V9iir ACC, ?'k/Z�❑ Changes needed -t .K.trd / z <br /> ❑ Changes needed—Final review necessary($100 fee) S �� � G/ C l� <br /> ll!! G /a7//o p t T /hq(, l Z <br /> Section /� Town 70 Range/ Location /WI 7ie Pi <br /> Surveyor: Jlv*u S Date of Survey: <br /> Land Owner or Ordered by: B c cif 74..4 <br /> Zoning Review cOs Od9 <br /> 1/Proper f 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 Y2&W %2 by CSM-No F e. <br /> Has the CSM been approved by the Land Use/Zoning Department?Date: 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 /> 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 /> �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 /> ✓fie all of the lots and outlots consecutively numbered?236.20(2)(e) <br /> i i t ea 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�th re 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 /> s"CERTIFIED SURVEY MAP"printed on the map in prominent letters?236.34(1)(c) <br /> s there a graphic scale on all sheets that show layout features? (Not to exceed 500' to an inch)236.34(1) (c) <br /> (incl 'ng 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 /> tow hip,range,and county noted?236.34(1)(c) <br /> HV ave u included the"Certificate of the Surveyor"who did the survey?236.34(1) (d) <br /> oes 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 /> L./-2-6C--__ _all the exterior boundaries of the land surveyed and divided shown?236.20(2)(a) <br /> Check the description with the map. <br /> ifv/fr If a CSM is under the proposed CSM,make sure the prior Lot and or Outlot#,Map#and CSM Volume and Page <br /> IV-Check <br /> 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 />