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X <br /> � COUNW <br /> F 1 ..y�y.•a t y E <br /> [ M 3 <br /> Date received- 3 (Z8' <br /> .IC to record <br /> ❑ Changes needed-then OX to record <br /> 0 Changes needed–Final review necessary($100 fee) <br /> Section Zy Town 39 Range / Location e-*Al v zo 13G esm VSD <br /> Surveyor:'el&'k K+� t- <br /> Date of Survey. <br /> Land Owner or Ordered by: rue •✓� <br /> /Proper fee paid?$200+$50/lot or outlot new parcels,$50/lot existing parcels.' " <br /> k" Has the CSM been approved by the Land Use(Zonmg Department?Date: 3 <br /> Are there 4 parceis or less including Outlots?Public dedications and public ROW do not count as <br /> rparcels.23634(1) <br /> ✓-/Are all of the lots and outlots consecutively numbered?236.20(2)(e) <br /> rIs the area in square feet of each lot and outlot sho ?236.20(2)(j) <br /> ✓/Is the map on 8.5"x 14"durable white paper?236.3 4(1)(c) <br /> e-Is there a 1.5"wide binding margin on the left or upper end and a 0.5"margin on all other sides? <br /> 236.34(1)(c) <br /> / t <br /> upper right hand <br /> Mp{KNt�AYr )<i"s there a 3 inch by 3 inch blank space Ifor use by the:Register of Deeds in the upp gb <br /> comer?59.43(2m) <br /> Is the font at least 10 point in size? <br /> I <br /> �C �Isstthe Zoning text on the map?Signature block for fie Zoning Administrator and Comm 83 note <br /> 1/ Are the sheets consecutively numbered and containi ng a notation giving the total number of sheets, <br /> showing the relationship of one sheet to the other ?236.34 1 c <br /> V Is"CERTIFIED SURVEY MAP"p 'rented on the map in prominent letters?236.34(1)(c) <br /> ibis there a graphic scale on all sheets that show layout features? (Not to exceed 500'to an inch) <br /> 236.34(1)(c) <br /> �s the location of the land denoted by government 1 t,recorded private claim,quarter-quarter section, <br /> section,township,range,and county toted?236.34(1)(c) <br /> _Have you included the"Certificate of the Surveyor"who did the survey?236.34(1)(d) <br /> 1Jnea the ittay►indijoaE6 tltrnM**t di ' g m e�ng"tie land?23634(1)(d)' <br /> ZAre all the exterior boundaries of the lead surveyed and divided shown?236.26(2)(a) <br /> Check the jeserf6on with the map. <br />