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BURNETT COUNTY CSM CHECK SHEFT <br /> Date received: 13 00 <br /> ��// <br /> /��iyO.K. to record /O 22 ew 'j /, / !� / <br /> ❑ Changes needed -then/O.K. to record -r !; A ,, <br /> ❑ Changes needed-Final review necessary($100 fee) J rr SI f N e W I �-� <br /> Section Z9 Town 3 7 Range /00' Location C76 Z 1rT W�+S mGo o d e Od1 <br /> Surveyor: plot H e fFP�g tT/t N, s �,y gyp_Z 3 —©2: <br /> Date of Survey: f7'ti 1 �2°0 _ <br /> / 4pH lyse <br /> Land Owner or Orderedby: S hu'I4 1 7 'llro S g ra y Ue S l r 5 P <br /> Y Proper fee paid? $200 + $50/lot or outlot new parcels, $50/lot )"'t f- ' <br /> V--'Has the CSM been approved by the Land Use/Zoning Departr SO <br /> Are there 4 parcels or less including Outlots? Public dedications and public ROW do not count as <br /> parcels. 236.34 (1) <br /> serf mtiw Vra ewrur <br /> Are all of the lots and outlots consecutively numbered? 236.20 (2) (e) oh 9/8/eB <br /> ,narvca/ a copy <br /> Is the area in square feet of each lot and outlot shown? 236.20 (2) <br /> V11-/Is the map on 8.5"x 14" durable white paper? 236.34(1) (c) y��r�og /dor eN,,y.� K e ' <br /> Is there a 1.5"wide binding margin on the left or upper end and a 0.5"margin on all other side 9 <br /> 236.34(1) (c) 9�1S�o8 Z o�alle� para lM <br /> mos <br /> VolunTar�/ Is there a 3 inch by 3 inch blank space for use by the Register of Deeds in e u er rt an <br /> // comer? 59.43 (2m) �0 2z op )4c,G'vc. Q.� w-1105 <br /> � A.-A frdoy. 9T• <br /> I I 4 Is the font at least 10 point in size? <br /> n FIs the Zoning text on the map? Signature block for the Zoning Administrator and Comm 83 note. <br /> Are 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 /> k----Is "CERTIFIED SURVEY MAP"printed on the map in prominent letters? 236.34 (1) (c) <br /> ✓ Is there a graphic scale on all sheets that show layout features? (Not to exceed 500' to an inch) <br /> X236.34 (1) (c) <br /> ✓ Is the location of the land denoted by government lot,recorded private claim, quarter-quarter <br /> section, section,township,range, and county noted? 236.34 (1) (c) <br /> r/ Have you included the "Certificate of the Surveyor"who did the survey? 236.34(1) (d) <br /> ✓oes the map indicate the name of the person dividing or selling the land? 236.34(1) (d) <br /> V Are all the exterior boundaries of the land surveyed and divided shown?236.20 (2) (a) <br />