2018/03/14 - LAND USE - SUB - Certified Survey Map - SUB-17-54

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BURNETT COUNTY CSM CHECK SHEET O.K. to record �� //7 /,71 -- Changes needed - then O.K. to record ❑ Changes needed — Final review necessary ($100 fee) Section 3o Town A b Range \ -I //�� / Location l i -2Z i n.c c &;Du �� L4 4- Surveyor: 7, Crate c_ Date f Survey: Land Owner or Ordered by: (,!j a„i' t 1a Arj ✓c v1 Comments sent r ised / map received dates Zoning Review Gv Proper fee paid? $200 + $50/lot or outlot new parcels, $50/lot existing parcels. PD. Ngo fee if a CSM is used when not required. Ex.: Split a 40 into E 'h & W %2 by CSM — No Fee. L'�Ha e CSM been approved by the Land Use/Zoning Department? Date: �Z Is the Zoning text on the map? Signature block for the Zoning Administrator and SPS 383 note. Per BC Ord. 58-54 (h) OR DOES IT FALL UNDER 58-150 "EXCLUSIONS" (existing lot, sale and exchange, court ordered transfers, assessors plat, cemetery plat - not requiring Zoning block) Surveyor Review ✓Does the Surveyor have a current PLS license? ✓ Is the professional surveyor's name and address shown, along with the dated field work was completed? A-E 7.05 (7) v`�'Is there a 3 inch by 3 inch blank space for use by the Register of Deeds in the upper right hand corner? 59.43 (2m) and per BC Ord. 58-159 (a) the exterior of the parcels surveyed clearly shown on the map. (dark — heavy lines) 236.20(2) ✓Are there 4 parcels or less including Outlots? Public dedications and public ROW do not count as parcels. 236.34 (1)(am) (or could it fall under the expanded use of a CSM?) 236.34 (1) (ar) Are all of the lots and outlots consecutively numbered? 236.20 (2) (e) Zissthe area in square feet of each lot and outlot shown? 236.20 (2) (j) map on 8.5" x 14" durable white paper? 236.34 1 c is there a 1.5" wide binding margin on the left or upper end and a 0.5" margin on all other sides? 236.34 (1) (c) ✓Are the sheets consecutively numbered and containing a notation giving the total number of sheets, showing the relationship of one sheet to the other sheets? 236.34 (1) (c) --'Is "CERTIFIED SURVEY MAP" printed on the map in prominent letters? 236.34 (1) (c) there a graphic scale on all sheets that show layout features? (Not to exceed 500' to an inch) 236.34 (1) (c) (including location sketch or "not to scale") the location of the land denoted by government lot, recorded private claim, quarter -quarter section, section, township, range, and county noted? 236.34 (1) (c) V'Have you included the "Certificate of the Surveyor" who did the survey? 236.34 (1) (d) �Z1 oes the map indicate the name of the person dividing or selling the land? 236.34 (1) (d) and BC Ord. 58-159 (b) if an entity — must show entity, authorized agent and title of authorized agent ✓ Ar all the exterior boundaries of the land surveyed and divided shown? 236.20 (2) (a) Check the description with the map.