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v"�'�p,� <br /> eb , j� FS p�`� t< <br /> Date received 3 off'' <br /> IC.to record <br /> Ej Changes needed-then O.R.to record <br /> D Changes needed—Final review necessary($100 fee <br /> Section 2,q Town 39 Range �-2 Location <br /> GSM V Zo /34 4FJ4 U!P <br /> KrwNse-- <br /> Date of Survey: ? <br /> Land Owner orOrdered by: rNce f�++ rr1 <br /> J�Proper fee paid?$200+S50/lot or outlot new parce s,$50/lot existing parcels. <br /> !/. Has the.CSM been approved by the Land Use/Zoning Department?Date---4 3 <br /> _LAre there 4 parcels or less including Outiots?Publicdedications and public ROW do not count as <br /> parcels.23634(1) <br /> l�Are all of the lots and outiots consecutively n' ?236.20(2)(e) <br /> t- Is the area in square feet of each lot and oudot shown?236.20(2)0) <br /> tIsthe map on 8.5"x 14"durable white paper?236-34(1)(c) <br /> {!' Is there a 1.5"wide binding margin on the left or upper end and a 0.5"margin on all other sides? <br /> x236.34(1)(c) <br /> Yid�itM>�ry K_Is there a 3 inch by 3 inch blank space for use by a Register of Deeds in the upper right hand <br /> corner?59.43(2m) <br /> t< Is the font at least 10 point in size? <br /> � , Iss the Zoning text on the map?Signature block for the Zoning Administrator and Conan 83 note. <br /> t/ Are the sheets consecutively numbered and contait ang a notation giving the total number of sheets, <br /> showing the relationship of one sheet to the other i heets?236.34(1)(c) <br /> Is" <br /> VCERIWIIED SURVEY MAP"printed on the n ap in prominent letters?236.34(1)(c) <br /> V/18 there'agraphic scale on all sheets that show layout fesduns? (Not to exceed 500'to an inch) <br /> 236.34(1)(c) <br /> &!f'js the location of the lard denoted by government IA recorded private claim,quarter-quarter section, <br /> section,township,range,and county noted?236.3 4(1)(c) <br /> _Have you included the"Certificate of the Surveyor who did the survey?23634(1)(d) <br /> Does <br /> the'reap in x e the tt�e of pseson or setlin8 the laird?236.34(1){d) <br /> _Are all the exterior boundaries of the land surveyed and divided shown?236.20(2)(a) <br /> Check the 40FrV,040M with the map..: <br />