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• BURNETT COUNTY CSM CHECK SHEET Comments sent/revised/map received dates <br /> X0.K.to record 3 6/2fI zo ?,- e c 7/30//O <br /> ❑ Changes needed- hen O.K.to record r, �L ,/[' <br /> ❑ Changes needed—Final review necessary($100 fee) N� �'Mhn G�-f� G�'I� fry) <br /> NW-5 ,�er5ol,\ off gl S <br /> Section /1( Town go Range iy Location k' -' <br /> Surveyor: K{/'au Date of Survey: 1 I�q/ c �5 <br /> Land Owner or Ordered by: S A e v�� <br /> Zoning Review <br /> roper fee paid? $200+$50/lot or outlot new parcels, $50/lot existing parcels.PD. 2_5V- <br /> No fee if a CSM is used when not required. Ex.: Split a 40 into E%2&W%2 by CS —No Fee. <br /> Has the CSM been approved by the Land Use/Zoning Department?Date: S 6/0oo <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 /> Vlioes 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 there 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 /> 1 1s the exterior of the parcels surveyed clearly shown on the map. (dark—heavy lines)236.20(2) <br /> 1./iCre 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 /> �e all of the lots and outlots consecutively numbered?236.20(2)(e) <br /> s te area in square feet of each lot and outlot shown?236.20(2)(j) <br /> 1 s the map on 8.5"x 14"durable white paper?236.34(1) (c) <br /> x <br /> 11 <br /> s 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 /> 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 /> L.--1C—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 /> s 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 /> `�ve ou 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 /> 'Are all the exterior boundaries of the land surveyed and divided shown?236.20 (2) (a) <br /> V-oheck the description with the map. <br /> ivf If a CSM is under the proposed CSM,make sure the prior Lot and or Outlot#,Map#and CSM Volume and Page <br /> I must 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 />