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BURNETT COUNTY CSM CHECK SHEET <br />O.K. to record &IZ7g 11 �#'fs <br />"Changes needed - then O.K. to record <br />❑ Changes needed — Final review necessary ($100 fee) <br />Section Gr1 Town Y 0 Range / & Location <br />Surveyor: K �, a ', ',,- Date of Survey: <br />Land Owner or Ordered by: H N'.t 2 <br />Comments sent / revised / map received dates <br />GC- <br />04 of C_ 40, <br />Zoning Review <br />"Proper fee paid? $200 + $50/lot or outlot new parcels, $50/lot existing parcels. PD. <br />No lee if a CSM is used when not required. Ex.: Split a 40 into E'/z & W'/z by CSM — No Fee. <br />HHaas the CSM been approved by the Land Use/Zoning Department? Date: G 2 % 1 <br />y Is the Zoning text on the map? Signature block for the Zoning Administrator and SPS 383 note. Per BC Ord. 58-54 <br />(h) OR DOES IT FALL UNDER 58-150 "EXCLUSIONS" (existing lot, sale and exchange, court ordered transfers, <br />assessors plat, cemetery plat - not requiring Zoning block) <br />Surveyor Review <br />�oes the Surveyor have a current PLS license? Is the professional surveyor's name and address shown, along with <br />the date the field work was completed? A-E 7.05 (7) <br />k-"'Isthere a 3 inch by 3 inch blank space in the upper right hand corner? 59.43 (2m) and per BC Ord. 58-159 (a) <br />� <br />✓Isstthe 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 parcels. 236.34 <br />,(11)(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 />the map on 8.5" x 14" durable white paper? 236.34 (1) (c) <br />✓ls there a 1.5" wide binding margin on the left or upper end and a 0.5" margin on all other sides? 236.34 (1) (c) <br />��e the sheets consecutively numbered and containing a notation giving the total number of sheets, showing the <br />relationship of one sheet to the other sheets? 236.34 (1) (c) <br />`CERTIFIED SURVEY MAP" printed on the map in prominent letters? 236.34 (1) (c) <br />✓ls there a graphic scale on all sheets that show layout features? (Not to exceed 500' to an inch) 236.34 (1) (c) <br />(including location sketch or "not to scale") <br />✓Is the location of the land denoted by government lot, recorded private claim, quarter -quarter section, section, <br />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 Ord. 58-159 (b) if <br />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 />i(ff—kIf a CSM is under the proposed CSM, make sure the prior Lot and or Outlot #, Map # and CSM Volume and Page <br />Zm t be listed in the heading. 236.34 (3) <br />Check legend: size (outside diameter, length, weight per lineal foot) and material of monuments set (at least 18" x 1" <br />diameter or solid square or round iron bars less in diameter, minimum weight 1.13/ft), are all monuments on the map <br />accounted for on the legend? 236.15 (1) (c) <br />