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BURNETT COUNTY CSM CHECK SHEET Comments sent/revised/map received dates <br /> O.K. to record 6 /D if k� 57:y?o�tChanges needed- en .K.to ecord C a// mIA4kt,"ev1$ 0 <br /> ❑ Changes needed—Final review necessary($100 f�/ S/ <br /> �1 it l <br /> 3 7 I Range / G 3S�s wl#3��0 ri Ma( VAC, 6 /O <br /> Section Town g /� Location <br /> Surveyor: fretW e_ ,Date of Survey: <br /> Land Owner or Ordered by: 1{c.W4 Hai <br /> Zoning Review y� 4f9Proper fee paid?$200+ $50/lot or outlot new parcels, $50/lot existing parcels.PD. v i '------ <br /> N e if a CSM is used when not required. Ex.: Split a 40 into E '/2&W '/2 by CS —N9 Fee. <br /> Has the CSM been approved by the Land Use/Zoning Department?Date: w //70 <br /> 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 /> ✓ Does 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 /> jVfS--t-here 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 /> 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 parcels. 236.34 <br /> (1)(am) (or could it fall under the expanded use of a CSM?)236.34(1)(ar) <br /> i/Are all of the lots and outlots consecutively numbered?236.20(2)(e) <br /> ✓Is therea in square feet of each lot and outlot shown?236.20(2)(j) <br /> s the map on 8.5"x 14"durable white paper?236.34(1)(c) <br /> r <br /> i/fs�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 /> v'Are 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 /> Is"CERTIFIED SURVEY MAP"printed on the map in prominent letters?236.34(1)(c) <br /> here 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 /> oes 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 /> //A-ie all the exterior boundaries of the land surveyed and divided shown?236.20(2)(a) <br /> ck the description with the map. <br /> aCSM is under the proposed CSM,make sure the prior Lot and or Outlot#,Map#and CSM Volume and Page <br /> 2T must be isted in the heading. 236.34(3) <br /> eck 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 />