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BURNETT COUNTY CSM CHECK SHEET Comments sent/revised/map received dates <br /> AC- 3'&72/i <br /> XO.K.to record -I �D Z� i 1� <br /> Changes needed-then a.K o rec rd <br /> g ml/- CtM4/�PS/ZyZy <br /> ❑ Changes needed—Final review necessary($100 fee)Seci. 2,1 3/V cc'f v., er.44's.d_ irs- (1113/2-1- <br /> tion 32Town 'P Range .// Location er <br /> Surveyor: Ky1cc NSe— D to of Survey:/ Co V.1 UM.A& e-vute (mac[/ <br /> 9//6/ZcL <br /> Land Owner or Ordered by: &lerre �c 1145 7 f//0a4 kale/ T..KQ/ A.c 9 /&'/z4' <br /> Zoning Review <br /> o 2 <br /> Prop fee paid?$200+$50/lot or outlot new parcels, $50/lot existing parcels. PD. '/L 0, <br /> tyieee if a CSM is used when not required. Ex.: Split a 40 into E 1/2&W 'h by CSM—No Fee. <br /> Has the CSM been approved by the Land Use/Zoning Department?Date: 'i/i b//192 <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 /> 1 oes the Surveyor have a current PLS license? Is the professional surveyor's name and address shown,along with <br /> thgdate the field work was completed? A-E 7.05 (7) <br /> t/ IIss 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 /> s 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 /> e all of the lots and outlots consecutively numbered?236.20(2)(e) <br /> Is the area in square feet of each lot and outlot shown?236.20(2)(j) <br /> s the map on 8.5"x 14"durable white paper?236.34(1)(c) <br /> Lzfraiere 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 /> IA‘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 /> 2 s"CE TIFIED 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 uding location sketch or"not to scale") <br /> 1 Is the location of the land denoted by government lot,recorded private claim, quarter-quarter section, section, <br /> toyaship,range,and county noted?236.34(1)(c) <br /> Vfiave you included the"Certificate of the Surveyor"who did the survey?236.34(1)(d) <br /> V 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 /> 1 e all the exterior boundaries of the land surveyed and divided shown?236.20(2)(a) <br /> heck the description with the map. <br /> ivlf a CSM is under the proposed CSM,make sure the prior Lot and or Outlot#,Map#and CSM Volume and Page <br /> must listed in the heading. 236.34(3) <br /> heck 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 />