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BURNETT COUNTY CSM CHECK SHEET Comments sent/revised/map received dates <br /> XO.K.to record q ZOZ9 i/ Rec 373/2.' <br /> ❑ Changes needed�h n O.K.t record /i/2..q <br /> ❑ Changes needed—Final review necessary($100 fee) <br /> 4/c5144 A 3 P, 74,... '/ <br /> 28' Location �/CSM !/.ZG /.S� 61110 / Y�.c �" 9 <br /> Zi <br /> Section Town 10 Range /q <br /> Surveyor: 'i i^c4M se-- Date of Survey: <br /> Land Owner or Ordered by: /J/4'vhN ktimio5..wi <br /> � �� ( <br /> Zoning Review D�' op <br /> 1�Proper fee paid? $200+$50/lot or outlot new parcels, $50/lot existing parcels.PD. <br /> ,,,fee—if a CSM is used when not required. Ex.: Split a 40 into E Yz&W %z by CSM N Fee. <br /> Has the CSM been approved by the Land Use/Zoning Department?Date: f 9 Ze9Z <br /> s the Zoning text on the map? Signature block for the Zoning Administrator and PS 83 note. er 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 /> 1. l' ere 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 /> Athere 4 parcels or less including Outlots?Public dedications and public ROW do not count as parcels. 236.34 <br /> 9 m) (or could it fall under the expanded use of a CSM?)236.34(1)(ar) <br /> L/ Are all of the lots and outlots consecutively numbered?236.20(2)(e) <br /> jIsha area in square feet of each lot and outlot shown?236.20(2)(j) <br /> 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 /> 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 /> s there a graphic scale on all sheets that show layout features? (Not to exceed 500'to an inch)236.34(1)(c) <br /> (inc ding 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 /> pwnship,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 /> 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 /> f <br /> an tity—must show entity, authorized agent and title of authorized agent <br /> Are 11 the exterior boundaries of the land surveyed and divided shown?236.20(2)(a) <br /> 1// <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 /> myst 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 />