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BURNETT COU TY CSM CHECK SHEET <br />O.K. to record I ( ' <br />Changes needed - then O.K. o record <br />❑ Changes needed — Final review necessary ($100 fee) <br />Section_j�e Town ¢l Range \4 - <br />Location GL- <br />Surveyor: Cn te, Date of Survey:_ <br />Land Owner or Ordered by: q 0y,,C-1 �-k) 'MaA <br />Comme is sent / rev,sed / map received dates <br />' 3 01 <br />c,c <br />OL. 1 5ATMa <br />Surveyor Review o <br />Proper fee paid? $200 + $50/lot or outlot new parcels, $50/lot existing parcels. PD. 3me <br />No e if a CSM is used when not required. Ex.: Split a40 into E '/Z & W '/z by S — No Fee. <br />Has the CSM been approved by the Land Use/Zoning Department? Date: 3 9 7 <br />e there 4 parcels or less including Outlots? Public dedications and public ROW do not count as <br />parcels. 236.34 (1) <br />L,-X�e all of the lots and outlots consecutively numbered? 236.20 (2) (e) <br />As area in square feet of each lot and outlot shown? 236.20 (2) 0) <br />=sth�re <br />map on 8.5" x 14" durable white paper? 236.34 (1) (c) <br />a 1.5" wide binding margin on the left or upper end and a 0.5" margin on all other sides? <br />23.34 (1) (c) <br />Is there a 3 inch by 3 inch blank space for use by the Register of Deeds in the upper right hand <br />A's <br />omer? 59.43 (2m) and per BC Ord. 58-159 (a) <br />the font at least 10 point in size? This is voluntary! <br />_1_2�the Zoning text on the map? Signature block for the Zoning Administrator and SPS 383 note. Per <br />BSC Ord. 58-54 (h) <br />V 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 />Is "CERTIFIED SURVEY MAP" printed on the map in prominent letters? 236.34 (1) (c) <br />s there a graphic scale on all sheets that show layout features? (Not to exceed 500' to an inch) <br />236.34 (1) (c) <br />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 />ave you included the "Certificate of the Surveyor" who did the survey? 236.34 (1) (d) <br />.Does the map indicate the name of the person dividing or selling the land? 236.34 (1) (d) and BC <br />O 58-159 (b) <br />A,re all the exterior boundaries of the land surveyed and divided shown? 236.20 (2) (a) <br />✓ <br />/Check the description with the map. <br />✓ If a is under the proposed CSM, make sure the prior CSM Volume, Page & Map # are listed in <br />e heading. 236.34 (3) <br />Check legend: size (outside diameter, length, weight per lineal foot) and material of monuments set <br />(at least 18" x 1" diameter or solid square or round iron bars less in diameter, minimum weight <br />1.13/ft), are all monuments on the map accounted for on the legend? 236.15 (1) (c) <br />