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BURNETT COUNTY CSM CHECK SHEET <br />X11 <br />O.K. to record 7 Z�`�� �� <br />Changes es needed - �en O.K.o record <br />❑ Changes needed — Final review necessary ($100 fee) <br />3 o...Z <br />Section-O)Town 36 Range Ito <br />Location (9 L 10 + 'S(,) -5F_ , 5c_.3 . &4-S, 5ecJ 0 <br />Surveyor: Cr-o.r.e._ Date of Survey: 5401-7 <br />Land Owner or Ordered by: To Oe^ <br />Comments sent / revised / map received dates <br />e ! S I(� 2017 <br />Zoning Review <br />0 <br />roper fee paid? $200 + $50/lot or outlot new parcels, $50/lot existing parcels. PD. 35 zf� <br />No if a CSM is used when not required. Ex.: Split a 40 into E 1/2 & W '/2 by SM — No Fee. <br />Has the CSM been approved by the Land Use/Zoning Department? Date: 27117 <br />s the Zoning text on the map? Signature block for the Zoning Administrato and SPS 383 note. Per <br />BC Ord. 58-54 (h) OR DOES IT FALL UNDER 58-150 "EXCLUSIONS" (existing lot, sale and <br />exchange, court ordered transfers, assessors plat, cemetery plat - not requiring Zoning block) <br />Surveyor Review <br />v --Does the Surveyor have a current PLS license? <br />,/"Is the professional surveyor's name and address shown, along with the dated field work was <br />completed? A-E 7.05 (7) <br />Is there a 3 inch by 3 inch blank space for use by the Register of Deeds in the upper right hand <br />korner? 59.43 (2m) and per BC Ord. 58-159 (a) <br />Is the exterior of the parcels surveyed clearly shown on the map. (dark — heavy lines) 236.20(2) <br />✓Are there 4 parcels or less including Outlots? Public dedications and public ROW do not count as <br />Parcels. 236.34 (1)(am) (or could it fall under the expanded use of a CSM?) 236.34 (1) (ar) <br />✓ <br />_Are all of the lots and outlots consecutively numbered? 236.20 (2) (e) <br />✓�th, <br />rea in square feet of each lot and outlot shown? 236.20 (2) (j) <br />ap 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 otiier sides? <br />/236.34 (1) (c) <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 />Is ` ERTIFIED 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 />236.34 (1) (c) (including location sketch or "not to scale") <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 />_ZHave 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 />Or, d. 58-159 (b) if an entity— must show entity, authorized agent and title of authorized agent <br />,V/�heck <br />the exterior boundaries of the land surveyed and divided shown? 236.20 (2) (a) <br />he description with the map. <br />