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r BURNETT COUNTY CSM CHECK SHEET Comments sent/revised/map received dates <br /> X°' to record I 1/ZD 7A° ‘111--- <br /> '► Rex– 7/a' <br /> ❑ Changes needed-then O.K.to record �t'ar(e.1 Go Lai piNe-H.4 03 <br /> ❑ Changes needed–Final review necessary($100 fee) <br /> Section 1 Town 7/ Range 1 9Location VP–$5 <br /> Surveyor: Ky`a W 5 Date o urvey: <br /> Land Owner or Ordered by: 41s,, Y-69,1,44/0fe <br /> Zoning Review <br /> Proper fee paid? $200+$50/lot or outlot new parcels, $50/lot existing parcels. PD. 529, <br /> fee if a CSM is used when not required. Ex.: Split a 40 into E 'h&W%z by CSM–No Fee. <br /> Ha the CSM been approved by the Land Use/Zoning Department?Date: $/77Zo ZO <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 /> 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 /> /Vis the exterior of the parcels surveyed clearly shown on the map. (dark–heavy lines)236.20(2) <br /> Y �e 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 /> J/ Are all of the lots and outlots consecutively numbered?236.20 (2)(e) <br /> the area 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 /> Is 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 /> ✓ re 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" 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) ,12cluding 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 /> nship,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 /> aniontity–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 /> ifitf a CSM is under the proposed CSM,make sure the prior Lot and or Outlot#,Map#and CSM Volume and Page <br /> be listed in the 236.34 heading. (3) <br /> ( ) <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 /> .c <br />