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BURNETT COUNTY CSM CHECK SHEET Comments sent/revised/map received dates <br /> O.K,to record i2•13°r�°20 1,4,r rye c� 1.2"2.2.12.0-2.0 <br /> 11� <br /> Chanes needed-ten O.K.to r ord 1.8 7 <br /> Changes II Doe4h1- dose- by rgff--PQusa <br /> ❑ Changes needed—Final review necessary($100 fee) <br /> L r B 8/4 7.20 Bb' v+�vl'tw - $ GM4r'I - PAK <br /> Section I el Town �Range /6 Location Ti s s Lakes4•� /a/a S - i recti or l;„e.5 rcrrnr <br /> Surveyor: Wo IA C4,- Date of Survey: WI/°w patese - send e vtaiI. <br /> Land Owner or Ordered by: l9 b s Za✓'r y Com.pv e,.,.,}5 e-wwc k4.. ;j2-9/249 <br /> 1=i via c <br /> 1 rc. t Z 3o j 742 <br /> Zoning Review O <br /> roper fee paid? $200+$50/lot or outlot new parcels, $50/lot existing parcels.PD. °Q <br /> Ilio fee if a CSM is used when not required. Ex.: Split a 40 into E Y2&W 'h by CSM—No Fee. <br /> V/Has the CSM been approved by the Land Use/Zoning Department?Date: 12130 f 20 ze <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 /> �oes 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 /> 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 /> ,,---fs the exterior of the parcels surveyed clearly shown on the map. (dark—heavy lines)236.20(2) <br /> yAre 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 /> 1/"Are all of the lots and outlots consecutively numbered?236.20 (2) (e) <br /> Is the area in square feet of each lot and outlot shown?236.20(2)(j) <br /> Is the map on 8.5"x 14"durable white paper?236.34(1) (c) <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 /> VAre 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 /> 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 /> township,range,and county noted?236.34(1)(c) <br /> ve 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 /> Are all the exterior boundaries of the land surveyed and divided shown?236.20 (2) (a) <br /> Check the description with the map. <br /> CSM is under the proposed CSM,make sure the prior Lot and or Outlot#,Map#and CSM Volume and Page <br /> must be listed 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 />