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? A ' 3y��r. H i y( yy t♦'; <br /> :rS5Y �••„ ��4<�f ''�� ���� � +. ���� �U xl <br /> u Fa <br /> Date received' Ba <br /> )(O.K.to record V <br /> ❑ Changes needed"-then O.K.to record <br /> 0 Changes needed—Final review necessary($100 fee) <br /> 41 / tZ <br /> Section Za' Town yS Range_&_Locetion 8f 9 y.�/wu �' /gffexsrs FI•f 'F/w <br /> Surveyor G. .� <br /> Date of Survey.' <br /> LandOwneror Ordered by: Ernes' f Sae: Ledswid <br /> Y Proper fee paid?$200+$50/lot or outlot new parcels,$50/lot existing parcels. <br /> Has the CSM been approved by the Land UselZoning Department?Date: s <br /> there 4 parcels or less including Outlots?Public dedications and public ROW do not count as <br /> parcels.236.34(1) <br /> /Are" all of the lots and outlots consecutively numbered?236.20(2)(e) C�J"'""� 0e <br /> V Is the area in square feet of each lot and outlot shown?236.20(2)(j) <br /> r/ Is the map on 8.5"x 14"durable white paper?236.34(1)(c) <br /> —zlfs 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 /> Vs(sxfrjX Is there a 3 inch by 3 inch blank space for use by the Register of Deeds in the upper right hand <br /> comer? 59.43(2m) <br /> h )r Is the font at least 10 point in size? <br /> _ls the Zoning text on the map?Signature block for the Zoning Administrator and Comm 83 note. <br /> the sheets conaecutively numbered and containing a notation giving the total number of sheets, <br /> showing the relationship of one sheet to the other sheets?236.34(1)(c) <br /> t/ Is"CERTIFIED SURVEY MAP"printed on the map in prominent letters?236.34(1)(c) <br /> there a graphic scale on all sheets that stow layout features? (Not to exceed 500'to an inch) <br /> X236.34(1)(c) <br /> V Is the location of the land denoted by government lo;recorded private claim,quarter-quarte'section, <br /> section,township,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 /> 600the map indieatatheTom,*f4 epeseon gcirsollirtg the laoil '236 (I) <br /> VAArre-all the exterior boundaries of the land surveyed and divided shown?236.201(2)(a) <br /> Y Clteck tletssiption with the map. <br />