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BURNETT COUNTY CSM CHECK SHEET <br />y <br />XO.K. to record <br />Changes needed - he O. . to record <br />❑ Changes needed — Final review necessary ($100 fee) <br />Sectionlft_Town 40 RangeCg <br />Location G 1 k 6_ L 'Z— <br />Surveyor: <br />Surveyor: . CCSan R-, Date of Survey: 2006 <br />Land Owner or Ordered by: ;ra n; P. IL;r\•\ <br />Comments sent / revised / map received dates <br />Z0 I Z <br />Greta; � 3 �I(ol2v! <br />� <br />Zoning Review <br />� 0 <br />!/ Proper fee paid? $200 + $50/lot or outlot new parcels, $50/lot existing parcels. PD. 300. <br />fee if a CSM is used when not required. Ex.: Split a 40 into E 'h & W '/2 by CSM — No Fee. <br />Has the CSM been approved by the Land Use/Zoning Department? Date:_2// V�a— <br />_k��`Isthe <br />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 />✓Is the professional surveyor's name and address shown, along with the dated field work was <br />completed? A-E 7.05 (7) <br />FIs 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 />VIE 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 />✓Are all of the lots and outlots consecutively numbered? 236.20 (2) (e) <br />✓Is the area in square feet of each lot and outlot shown? 236.20 (2) (j) <br />Is 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 />X236.34 (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 />✓ Is "CERTIFIED SURVEY MAP" printed on the map in prominent letters? 236.34 (1) (c) <br />LA there a graphic scale on all sheets that show layout features? (Not to exceed 500' to an inch) <br />236.34 (1) (c) (including location sketch or "not to scale") <br />Ll/"'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 />,Ord. 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 />