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BURNETT COUNTY CSM CHECK SHEET <br />X! O.K. to record �' �/ I <br />[I Changes needed - hen O. . to record <br />❑ Changes needed — Final review necessary (SI00 fee) <br />Section �, � Town ko Range <br />Location Prk &oy� Lo-- (o <br />Surveyor: MAC`�,,,M.e— Date of Survey: 20 �C6 <br />Land Owner or Ordered by: V IS , w �S�k�o�• <br />Comments sent / revised / map received dates <br />Zoning Review <br />,o <br />Proper 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 '/z & W '/z by CSM — No Fee. <br />Has the CSM been approved by the Land Use/Zoning Department? Date: 2 �� <br />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 />1.1�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 />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 />AA <br />re all of the lots and outlots consecutively numbered? 236.20 (2) (e) <br />✓I�s the area in square feet of each lot and outlot shown? 236.20 (2) (j) <br />✓%I� the map 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 other sides? <br />36.34 (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 />V is, ERTIFIED 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 />,/6.34 (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 />✓Have 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 />Qrd. 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 />Check the description with the map. <br />