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' <br /> BURNETT COUNTY CSM CHECK SHEET -1e j 4, <br /> Date received: S i a 3 <br /> O.K.toremrd <br /> s/Z9130 '•r r �{avts�✓ �•°P rec- <br /> Changissneeded-then O.K. to record <br /> ❑ Charlgwroseded—''FFinal review,, necessary($100 fee) Z,/ �� l!9 Pj Z8S <br /> Section Z1 Town 7DRange/7 Location NPJ-1V0 Le7'1 6S14 (/, 7 ZSS <br /> Surveyor. /VJ r�rauSE_ <br /> Date of Survey: ® T <br /> Land Owner or Ordered by: -7-0t e/Ma h <br /> Proper fee paid'?$200+$50/lot or oullot new parcels, $50/lot existing parcels. <br /> A- nas the CSM been approved by the Land Use/Zoning Department? Date: —5-49Z.3 <br /> Are there 4 parcels or less including Outlets? Public dedications and public ROW do not count as <br /> parcels. 236.34(1) <br /> Are all of the lots and outlets consecutively numbered?236.20(2)(e) <br /> ✓ I�the arca in square feet of each lot and outlet shown?236.20(2)6)and 66 Op.Att'y Gen.2(1977) <br /> ✓ Is the map on 9.5"x 14"durable white paper?236.34(1)(c) <br /> 1_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 /> here 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)and per BC Salad.Ord.6.14 <br /> *Is the fon//�S/at leasqt 10 poo�int in size?This is voluntary! <br /> Is the Zoning to t on the p?Signature block for the Zoning Administrator and Comm 83 note. Per <br /> BC Salad.Ord. 3.4(G). <br /> JZ'Arc the sheets consecutively 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 /> 1GIs"CERTIFIED SURVEY MAP"printed on the map in prominent letters?236.34(!)(c) <br /> _Is 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 lot,recorded private claim,quarter-quarter section, <br /> section,township,range,and county noted?236.34(1)(c) <br /> Hawe you included the"Certificate of the Surveyor"who did the survey?236.34(q(d) <br /> ✓Docs the map indicate the name of the person dividing or selling the land'?236.34 (1)(d) <br /> Are all the exterior boundaries of the land surveyed and divided shown?236.20(2)(a) <br /> kl-Check the description with the map. <br /> �� n CS HA /S U� `4e A4J /—/Ile"/ MV i5 7Z-- I/ <br />