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BURNETT COUNTY CSM CHECK SHEET <br />XD.K. to record � <br />❑ Changes needed - then O.K. to record <br />❑ Changes needed — Final review necessary ($100 fee) <br />Section_L�L__Town �}D Range 15 �- I <br />Location Lois ZS+z(, epi 6rar Add,�a., 4o (d <br />Surveyor: j4 rC, ,5,r Date of Survey: 2-ol-7 <br />Land Owner or Ordered by: 13uce. 131aryl <br />Comments sent / r wised / map received dates <br />j 5 Z3 <br />I-7 �, T <br />Zoning Review, <br />Pl roper fee paid? $200 + $50/lot or outlot new parcels, $50/lot existing parcels. PD. <br />N e if a CSM is used when not required. Ex.: Split a 40 into E '/z & W '/z by CSM — No Fee. <br />Has the CSM been approved by the Land Use/Zoning Department? Date: & % 7 <br />s the Zoning text on the map? Signature block for the Zoning Administrator 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 />✓ Does the Surveyor have a current PLS license? <br />�s the professional surveyor's name and address shown, along with the dated field work was <br />completed? A-E 7.05 (7) <br />✓ls there a 3 inch by 3 inch blank space for use by the Register of Deeds in the upper right hand <br />corner? 59.43 (2m) and per BC Ord. 58-159 (a) <br />ylIs the exterior of the parcels surveyed clearly shown on the map. (dark — heavy lines) 236.20(2) <br />_I,L'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 />Are all of the lots and outlots consecutively numbered? 236.20 (2) (e) <br />XI <br />the area in square feet of each lot and outlot shown? 236.20 (2) 0) <br />the map on 8.5" x 14" durable white paper? 236.34 (1) (c) <br />yIs 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 />ire 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 />As "CERTIFIED SURVEY MAP" printed on the map in prominent letters? 236.34 (1) (c) <br />s the a graphic scale on all sheets that show layout features? (Not to exceed 500' to an inch) <br />��X234 (1) (c) (including location sketch or "not to scale") <br />Is 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 />t <br />Hav 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 />Ord. 58-159 (b) if an entity — must show entity, authorized agent and title of authorized agent <br />y Are all the exterior boundaries of the land surveyed and divided shown? 236.20 (2) (a) <br />Check the description with the map. <br />