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BURNETT COUNTY CSM CHECK SHEET Comments sent/revised/map received dates <br /> l l 0 At— 7/z,/u� <br /> 1(O.K.to record "1 V1 Z ) P <br /> ❑ Changes needed-then O.K.to record <br /> er,` cepi 7/13 <br /> ❑ Changes needed–Final review necessary($100 fee) <br /> Section /5- 410 Range /Location L 6''9 Tr+xrf l7 <br /> Surveyor: )l.✓'ca N f e— Date of Survey: // <br /> Land Owner or Ordered by: c-14 vv.,c— <br /> Zoning Review <br /> 00 <br /> VProper fee paid? $200+$50/lot or outlot new parcels, $50/lot existing parcels.PD. 3, <br /> No fee if a CSM is used when not required. Ex.: Split a 40 into E %2&W%z by CSM–No Fee. <br /> V'Has the CSM been approved by the Land Use/Zoning Department?Date: –7/W7?0 <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 /> kes 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 /> ✓ Is t ere 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 /> 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 parcels.236.34 <br /> (1)(am) (or could it fall under the expanded use of a CSM?)236.34(1)(ar) <br /> i/icre all of the lots and outlots consecutively numbered?236.20 (2) (e) <br /> �s the area in square feet of each lot and outlot shown?236.20(2)(j) <br /> fmap on 8.5"x 14"durable white paper?236.34(1) (c) <br /> Is ere 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 /> Are the sheets consecutively numbered and containing a notation giving the total number of sheets, showing the <br /> rel tionship of one sheet to the other sheets?236.34(1)(c) <br /> Is" ERTIFIED SURVEY MAP"printed on the map in prominent letters?236.34(1) (c) <br /> Is there a graphic scale on all sheets that show layout features? (Not to exceed 500' to an inch)236.34(1) (c) <br /> (i luding location sketch or"not to scale") <br /> r//Is the location of the land denoted by government lot,recorded private claim, quarter-quarter section, section, <br /> tow ship,range, and county noted?236.34(1) (c) <br /> Havou 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 /> v " re all the exterior boundaries of the land surveyed and divided shown?236.20 (2) (a) <br /> Check the description with the map. <br /> #4f a CSM is under the proposed CSM,make sure the prior Lot and or Outlot#, Map#and CSM Volume and Page <br /> m 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 />