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BURNETT COUNTY CSM CHECK SHEET Comments sent/revised/map received dates aa <br /> XOKt d 1z4301le20 J'77 Aex'A la-Qs-aoao <br /> ❑ Changes needed-then O.K.to record <br /> G.4 e � <br /> '/.AZ /z7z9/z0 <br /> ❑ Changes needed-Final review necessary($100 fee) <br /> 6N4 I rex. 1?(30/7.D 2.° <br /> Section a��O Town z/Q Range 1(o Location Gov Lam, I+� !! <br /> Surveyor: AA ar iil ActttASl°. Date of Survey: <br /> Land Owner or Ordered by: 5+. M i d}bwh LI_C- Ste,t G <br /> Tccben5o t <br /> Zoning Review <br /> oper fee paid?$200+ $50/lot or outlot new parcels, $50/lot existing parcels.PD. /50 , <br /> fee if a CSM is used when not required. Ex.: Split a 40 into E %2 &W'A by CS -No Fee. <br /> Has the CSM been approved by the Land Use/Zoning Department?Date: 1 30/z 7-49 <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 /> ves 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 /> s 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 /> As 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) ) (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 /> 1/4-t 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 /> Isthere 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 /> ,.. '‹-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 /> 1,4s"CERTIFIED 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 /> (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 /> wnship, 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 /> t/"�y all the exterior boundaries of the land surveyed and divided shown?236.20(2)(a) <br /> heck the description with the map. <br /> ,Jfj 'If a CSM is under the proposed CSM,make sure the prior Lot and or Outlot#,Map#and CSM Volume and Page <br /> m 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 />