07-23-2003 Council Agenda - Laserfiche WebLink

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EXHIBIT C MINNESOTA WELL DISCLOSURE STATEMENT Minnesota Law requires that before signing an agreement to sell or transfer real property after June 30, 1990, the seller must disclose information in writing to the buyer about the status and location of all known wells on the real property. This requirement is satisfied by delivering to the buyer either a statement by the seller that the seller does not know of any wells on the real property, or a disclosure statement indicating the legal description and county and a map showing the location of each well. In the disclosure statement the seller must indicate, for each well, whether the well is in use, not in use or sealed. A seller who fails to disclose the existence of a well at the time of sale and knew of, or had reason to know of, the existence of a well is liable to the buyer for costs relating to the sealing of the well and reasonable attorney's fees for collection of costs from the seller, if the action is commenced within six (6) years after the date the buyer closed the purchase of the real property where the well is located. Instructions for completion of this form are on the reverse side. L LEGAL DESCRIPTION Street address: 96 W. Little Canada Rd., Little Canada Ramsey City County 2. LEGAL DESCRIPTION OutlotA Village Square Ramsey County MN 3. WELL DISCLOSURE STATEMENT (Check the appropriate box.) :0 The seller certifies that the seller does not know of any wells on the above described real property. If this option is checked, then skip to the last line and sign and date this statement. :0 The seller certifies that the following wells are located on the above described real property. Well Year of IN Unique Number Depth Const. Well Type USE NOT IN USE SEALED Well 1 1-1 01 33440 135' ❑ ❑ a Well2 ❑ ❑ ❑ Well3 ❑ ❑ ❑ 4. SEALED WELL INFORMATION For each well designated as sealed above, complete this section. When was the well sealed? August 7, 1998 Who sealed the well? Johnson Bros. Well Drilling Company Was a Sealed Well Report ft led with the Minnesota Department of Health? No Yes X 5. MAP Complete the attached map showing the location of each well on the real property. 6. CERTIFICATION BY SELLER I certify that the information provided above is accurate and complete to the best of my knowledge. Seller or Designated Representative Date: 200 1455685v6 - 1 6 - C -1