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-- BURNETT COUNTY CSM CHECK SHEET Comments sent/revised/map received dates <br /> XO.K.to record 3/00&/ ,T £cam' 3/04 <br /> ❑ Changes needed-then O.K.'to record /f. / <br /> 0/ <br /> ❑ Changes needed—Final review necessary($100 fee) �' <br /> Section 7 Town 40 Range/jam Location L Z <br /> I lN <br /> � q/ yec- 3/5711Surveyor: /0.64 L.t St.. Date of Survey: <br /> Land Owner or Ordered by: CGSAt 1...A.4:Ivl <br /> Zoning Review <br /> Proper fee paid?$200+$50/lot or outlot new parcels, $50/lot existing parcels.PD. /DVS <br /> 00 <br /> Ny-fee if a CSM is used when not required. Ex.: Split a 40 into E 'h&W Y2 by CSM—No Fee. <br /> f�/Has the CSM been approved by the Land Use/Zoning Department?Date: 3/,�/Z07�/ <br /> i/gthe 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 /> u/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 /> t/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 /> "'Are all of the lots and outlots consecutively numbered?236.20(2)(e) <br /> Is t ea 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 /> ,✓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 /> /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 /> 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 /> is 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 /> 1/ 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//Are-re all the exterior boundaries of the land surveyed and divided shown?236.20 (2)(a) <br /> 1/ C/Aheck the description with the map. <br /> N iaIf a 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 /> heck 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 />