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BURNETT COUNTY CSM CHECK SHEET <br />XO.K. to record <br />❑ Changes needed - then O.K. o record <br />❑ Changes needed — Final review necessary ($100 fee) <br />Section 13 Town 4 b Range_ <br />Location !_ 4 - <br />Surveyor: Date of Survey: 2-CW1 <br />"1 <br />Land Owner or 4dered by: L + 3a' 6�-Cn7_e.\ <br />Comments sent / revised / map received dates <br />I o q 17- 1 `7 R.4." <br />j'i Na v lobi 1 17 <br />Zoning Review— <br />epO <br />_/roper fee paid? $200 + $50/lot or outlot new parcels, $50/lot existing parcels. PD. <br />Nofeeif a CSM is used when not required. Ex.: Split a 40 into E'/z & W 'h by CSM — No Fee. <br />yHas the CSM been approved by the Land Use/Zoning Department? Date:o 1' <br />Is 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 />VIS there a 3 inch by 3 inch blank space for use by the Register of Deeds in the upper right hand <br />co er? 59.43 (2m) and per BC Ord. 58-159 (a) <br />_Ize exterior of the parcels surveyed clearly shown on the map. (dark — heavy lines) 236.20(2) <br />L Are there 4 parcels or less including Outlots? Public dedications and public ROW do not count as <br />p g <br />parcels. 236.34 (1)(am) (or could it fall under the expanded use of a CSM?) 236.34 (1) (ar) <br />_LZAre all of the lots and outlots consecutively numbered? 236.20 (2) (e) <br />Zth - area in square feet of each lot and outlot shown? 236.20 (2) 0) <br />Is t map on 8.5" x 14" durable white paper? 236.34 (1) (c) <br />LA's'therpa 1.5" wide binding margin on the left or upper end and a 0.5" margin on all other sides? <br />23 . 4 (1) (c) <br />-�_::Are t sheets consecutively numbered and containing a notation giving the total number of sheets, <br />s ing the relationship of one sheet to the other sheets? 236.34 (1) (c) <br />Is "QERTIFIED 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 />23A.34 (1) (c) (including location sketch or "not to scale") <br />✓ Ilss the cation of the land denoted by government lot, recorded private claim, quarter -quarter section, <br />se 6ion, township, range, and county noted? 236.34 (1) (c) <br />Ham 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�tl. 58-159 (b) if an entity— must show entity, authorized agent and title of authorized agent <br />Ari all the exterior boundaries of the land surveyed and divided shown? 236.20 (2) (a) <br />Check the description with the map. <br />