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BURNETT COUNTY CSM CHECK SHEET <br />XO.K. to record I ��� %; <br />11 Changes needed - t en O.K. to record <br />❑ Changes needed - Final review necessary ($100 fee) <br />Section_LI_Town Range <br />Location s - t C) - I I f oc k- 3 % o �� o� ►� ss. P1�� <br />Surveyor: L L.ce-- Date of Survey: <br />Land Owner or Ordered by: S c - M Ti ' L,'h l k- I l <br />Comments sent / revised / map received dates <br />zo�8 <br />AZ <br />Zoning Review <br />roper fee paid? $200 + $50/lot or outlot new parcels, $50/lot existing parcels. PD. <br />No fee if a CSM is used when not required. Ex.: Split a 40 into E'h &W '/2 by CSM - No Fee. <br />J,, --Has the CSM been approved by the Land Use/Zoning Department? Date: IN/ <br />A, 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 />els 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 />'.Omer? 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 />I-IlAre all of the lots and outlots consecutively numbered? 236.20 (2) (e) <br />Is thejarea in square feet of each lot and outlot shown? 236.20 (2) (j) <br />the map on 8.5" x 14" durable white paper? 236.34 (1) (c) <br />s 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 />__I/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 />LAs there a graphic scale on all sheets that show layout features? (Not to exceed 500' to an inch) <br />ZI6.34 (1) (c) (including location sketch or "not to scale") <br />s 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 />H ve 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 />0 .58-159 (b) if an entity- must show entity, authorized agent and title of authorized agent <br />Are all the exterior boundaries of the land surveyed and divided shown? 236.20 (2) (a) <br />eck the description with the map. <br />