10-22-2014 Council Agenda - Laserfiche WebLink

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�counse or vnalliy.com VACANT LAND DISCLOSURE STATEMENT 44. Page 2 45. THE INFORMATION DISCLOSED 1S GIVENTOTHE BEST OF SELLER'S KNOWLEDGE. 46. Property located at 47. (6) Has the land been surveyed? 48. Year surveyed: 49. What company/person performed the survey? 3040 Lahore Rd Litt(o Canada MN 56109 Dies 50. Name: Address. Phone' 51. (7) Is this platted land? ❑Yes No 52. If"Yes:' 63. has the plat been recorded? ❑Yes 0 No 54. do you have a certificate of survey In your possession? ❑Yes ❑ No 55, if"Yes;'whocompleted the survey? When? 56. (8) Are you aware of any property markers on the land? ❑Yos %.No 57, If "Yes," give details' 58. 59. (9) Is the land located on a public or private road? 'ubllc 60. (10) Are there any private or non -dedicated roadways that you are responsible for? ❑Yes 61. (11) For land abutting a lake, stream or river, does the land meet the 62. minimum local government lot size requirements? ❑Yes 0 No 63. Il"No' or "Unknown", buyer should consult the local zoning authority. 64. (12) Are there any rivers, lakes, ponds, creeks, streams or springs running 65. through the land or along a boundary line? 66. (13) la the land located In a designated (food plain? 67. (14) Is the land located in a drainage district, County or Judicial Drainage System? 68. (15) Is the land drain filed? 69. (16) Is there a private drainage system on the land? 70. (17) Is the land located within a government designated dlsoster evacuation zone 71. (e.g., nuclear facility, hazardous chemical facility, hazardous waste facility)? 72. (18) Are there encroachments? ❑Yes ❑Yos ❑Yes ❑Yes ❑Yes ❑Yes ❑Yes ❑ Private Pia 0 Unknown 73. (19) Please provide clariflcatlon or further explanation for all applicable "Yes" responses In Section A: 74. 75, 76. D. GENERAL CONDITION: 77: (1) Aro there any structures, Improvements or emblemonts (e.g., crops) Included 78. In tho sato? 79, If"Yes;' list all Items: 00. 81. 82. WNW 3-2(10/121 0 No No No 0 ❑Yes No 15