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w BURNETT COUNTY CSM CHECK SHEET <br />to record)O(COL- <br />ges needed -then O. <br />. to record <br />❑ Changes needed — Final review necessary ($100 fee) <br />Section j Town 3E) Range_ <br />Location 5 Co <br />Surveyor: t. C -r -o -n -e--- Date of Survey: <br />Land Owner or Ordered by: C-er-at r'ra Gi � �c r 5 tia <br />Zoning Review <br />Comments sent / revised / map received dates <br />9.LeZyt O r 31A3 1'8 <br />� kd ► 3 <br />_tJproper 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'/2 & W1/; b C M— No Fee. <br />ZHas the CSM been approved by the Land Use/Zoning Department? Date: 3 a 3 lby <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 />✓Is the professional surveyor's name and address shown, along with the dated field work was <br />2 mpleted? 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 />korner? 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 />Are all of the lots and outlots consecutively numbered? 236.20 (2) (e) <br />t/1s 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 />/236.34 (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 "CERTIFIED SURVEY MAP" printed on the map in prominent letters? 236.34 (1) (c) <br />V/Is 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 />✓Is the location of the land denoted by government lot, recorded private claim, quarter -quarter section, <br />se tion, 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 />II <br />A all the exterior boundaries of the land surveyed and divided shown? 236.20 (2) (a) <br />✓Check the description with the map. <br />