Form 17 Commercial Seller isclosure Statement-Commercial Rev. 7/15 Page 1 14 SELLER SCLOSURE STATEMENT COMMERCAL PROPERTY SELLER:City of Omak, Todd Mcaniel, City Admin. Seller Seller Copyrlght 215 Northwest Multiple Listing Service Commercial Brokers Association Al l RGHTS RESERVE To be used in transfers of commercial real estate as defined in RCW 6.42.5. See RCW Chapter 64.6 for further information. 2 NSTRUCTONS TO THE SELLER 3 Please complete the following form. o not leave any spaces blank. f the question clearly does not apply to the property check 4 "NA." f the answer is "yes" to any asterisked () item(s), please explain on attached sheets. Please refer to the line number(s) of 5 the question(s) when you provide your explanation(s). For your protection you must date and initial each page of this disclosure 6 statement and each attachment. elivery of the disclosure statement must occur not later than five (5) business days, unless 7 otherwise agreed, after mutual acceptance of a written purchase and sale agreement between Buyer and Seller. 8 NOTCE TO THE BUYER 9 THE FOLLOWNG SCLOSURES ARE MAE BY THE SELLER ABOUT THE CONTON OF THE PROPERTY LOCATE AT 1 o / 2 }l /.Cc,,1-(.4 /-J/L; u e..., CTY Omak, 11 STATE WA, ZP 98841, COUNTY Okanogan ("THE PROPERTY") OR AS 12 LEGALLY ESCRBE ON THE ATTACHE EXHBT A. 13 SELLER MAKES THE FOLLOWNG SCLOSURES OF EXSTNG MATERAL FACTS OR MATERAL EFECTS TO BUYER BASE 14 ON SELLER'S ACTUAL KNOWLEGE OF THE PROPERTY AT THE TME SELLER COMPLETES THS SCLOSURE 15 STATEMENT. UNLESS YOU AN SELLER OTHERWSE AGREE N WRTNG, YOU HAVE THREE (3) BUSNESS AYS FROM 16 THE AY SELLER OR SELLER'S AGENT ELVERS THS SCLOSURE STATEMENT TO YOU TO RESCN THE AGREEMENT 17 BY ELVERNG A SEPARATELY SGNE WRTTEN STATEMENTOFRESCSSONTOSELLERORSELLER'SAGENT. FTHE 18 SELLER OES NOT GVE YOU A COMPLETE SCLOSURE STATEMENT, THEN YOU MAY WAVE THE RGHT TO RESCN 19 PROR TO OR AFTER THE TME YOU ENTER NTO A PURCHASE AN SALE AGREEMENT. 2 THE FOLLOWNG ARE SCLOSURES MAE BY SELLER AN ARE NOT THE REPRESENTATONS OF ANY REAL ESTATE 21 LCENSEE OR OTHER PARTY. THS NFORMATON S FOR SCLOSURE ONLY AN S NOT NTENE TO BE A PART OF 22 ANY WRTTEN AGREEMENT BETWEEN BUYER AN SELLER. 23 FOR A MORE COMPREHENSVE EXAMNATON OF THE SPECFC CONTON OF THS PROPERTY YOU ARE AVSE TO OBTAN AN PAY FOR THE SERVCES OF QUALFE EXPERTS TO NSPECT THE PROPERTY, WHCH MAY NCLUE, WTHOUT LMTATON, ARCHTECTS, ENGNEERS, LAN SURVEYORS, PLUMBERS, ELECTRCANS, ROOFERS, BULNG NSPECTORS, ON-STE WASTEWATER TREATMENT NSPECTORS, OR STRUCTURAL PEST NSPECTORS. THE PROSPECTVE BUYER AN SELLER MAY WSH TO OBTAN PROFESSONAL AVCE OR NSPECTONS OF THE PROPERTY OR TO PROVE APPROPRATE PROVSONS N A CONTRACT BETWEEN THEM WTH RESPECT TO ANY AVCE, NSPECTlEFECTS OR WARRANTES. 24 25 26 27 28 29 3 SELLER O S/ [!JS NOT OCCUPYNG THE PROPERTY. 31. SELLER'S SCLOSURES: 32 *f you answer "Yes" to a question with an asterisk (*), please explain your answer and attach documents, if available and not 33 otherwise publicly recorded. f necessary, use an attached sheet. 34 1. TTLE YES NO ON'T NA 35 KNOW 36 A. o you have legal authority to sell the property? f no, please explain.... 37 *B. s title to the property subject to any of the following? (1) First right of refusal.......................... (2) Option................... (3) Lease or rental agreement............. (4) Life estate?.................. *C. Are there any encroachments, boundary agreements, or boundary disputes?... *. s there any leased parking?...................... te. s there a private road or easement agreement for access to the property?....., ff j,; *F. Are there any rights-of-way, easements, shared use agreements or access limitations?.., *G. Are re any written agreements for joint maintenance of an easement or right-of-way?.. re there any zoning violations or nonconforming uses?............ ---P'-----+-"--1"-'--'/( SELLER'S NTALS ate Western Real Estate Auctions, 31 EL TOPA WEST ROA Eltopia WA 9933 Phone: (59)297-9292 Fax: (59)293-555 Merle Booker Produced with zlpforrn by zlploglx 187 Fifteen Mile Road, F raser, Michigl:ln 4e26 www.zjploglx.com CB"'!Ja'/ 38 39 4 41 42 43 44 45 46 47 48 City of Omak
Form 17 Commercial Seller isclosure Statement-Commercial Rev. 7/15 Page 2 of 4 1. s there a survey for the property?....... -5.. SELLER SCLOSURE STATEMENT COMMERCAL PROPERTY (Continued) YES 1 tf.(./.............. ip/' *J. Are there any legal actions pending or threatened that affect the property?........... K. s the property in compliance with the Americans with isabilities Act?............... Copyright 215 Northwest Multiple Listing Service Commercial Brokers Association ALL RGHTS RESERVE NO ON'T KNOW - N/A 49 5 51 52 53 2. WATER *Are there any water rights for the property, such as ajvater right permit, certificate, or claim?!ef... tlu./:j, t- Sf 1e.r--. 3. SEWER/ON-STE SEWAGE SYSTEM *s the property subject to any sewage system fees or charges in addition to those covered in your regularly billed sewer or on-site sewage system maintenance service?........... _jl:k._ 54 55 56 57 58 4. STRUCTURAL * A. Has the roof leaked within the last 5 years?............................. *B. Has any occupied subsurface flooded or leaked within the last five years?............ c. Have there been any conversions, additions or remodeling?............ *(1) f yes, were all building permits obtained?............................... '(2) f yes, were all final inspections obtained?................. *. Has there been any settling, slippage, or sliding of the property or its improvements?.... E. Are there any defects with the following: (f yes, please check applicable items and explain.) Foundations O Slab Floors oors Outbuildings Ceilings Exterior Walls Sidewalks Siding nterior Walls Other Windows 59,..6 p--::: 61 62 63 64 65 ;a 66 67 68 69 7 71 72 5. SYSTEMS AN FXTURES * A. Are there any defects in the following systems? f yes, please explain............... (1) Electrical system........................................ (2) Plumbing system..................................... (3) Heating and cooling systems.......................... (4) Fire and security system............................. (5) Carbon monoxide alarms................................... 6. ENVRONMENT AL A. Have there been any flooding.standing water. or drainage problems on the property that affect the property or access to the property?................ B. s there any material damage to the property from fire, wind, floods, beach movements, earthquake, expansive soils, or landslides?............. c. Are there any shorelines, wetlands, floodplains, or critical areas on the property?...... *. Are there any substances, materials, or products in or on the propertythatmay be environmental oncerns, such as asbestos, formaldehyde, radon gas, lead-based paint, fuel or chemical orage tanks, or contaminated soil or water?............................ 1 SELLER'S N ate SELLE R'S NTALS ate Produced with zlpfollll by zlplogix 187 Fifteen Mile Road, Fraser, Michigan 4826 w1w1.zjplogix com [:}-"'' 73 J::).74 er 15 J2l 76 ef 77 a 78 ;6 79 8 81 82 83 84 85 86 87 88 CityofOmak
Form 17 Commercial Seller isclosure Statement-Commercial Rev. 7/15 Page3 or 4 SELLER SCLOSURE STATEMENT COMMERCAL PROPERTY (Continued) Copyright 215 Northwest Muttiple Listing Service Commercial Brokers Association ALL RGHTS RESERVE YES NO ON'T N/A 89 KNOW 9 *E. s there any soil or groundwater contamination?......... 91 *F. Has the property been used as a legal or illegal dumping site?......... 92 *G. Has the property been used as an illegal drug manufacturing site?..... 93 7. FULL SCLOSURE BY SELLER 94 A. Other conditions or defects: Are there any other existing material defects affecting the property that a prospective 96 buyer should know about?................ 97 98 *B. Verification 99 The foregoing answers and attached explanations (if any) are complete and correct to the best of Seller's knowledge 1 and Seller has received a copy hereof. Seller agrees to defend, indemnify and hold real estate licensees harmless 11 from and against any and all claims that the above information is inaccurate. Seller authorizes real estate licensees, if 12 any, to deliver a copy of this disclosure statement to other real estate licensees and all prospective buyers of the 13 property. 1 4 95 Seller City of Omak ale Seber Todd Mcaniel, City Admin. 15 16 f the answer is "Yes" to any asterisked (*) items, please explain below (use additional sheets if necessary). Please refer to the line 1 7 number(s) of the question(s). 18 19 11 111 112 113 114 115 116 117 118 119 12 121 122 123 124 125 126 127 128 129 13 131 132 133 134 135 136 137 i.! i i Produced with zipfonn by ziplogix 187 Fllleen Mile Road, Fraser, Michigan 4826 W1.w.ziploalx.com CityofOmak
NORTH OMAK NVESTMENTS, LLC POBo42 Omak WA 98841 59 826-6 Fax 826-466 RECF\VE t,ug l 8 ZOii August 18, 211. Cindy Gagne', Mayor City of Omak PO Box 72 Omak WA 98841 ear Mayor Gagne': North Omak nves1ments, LLC (NO) is proposing a boundary line adjus1ment between a parcel of land owned by NO, and a parcel of land owned by the City of Omak to provide a configuration of our adjourning lot that will allow construction of a driveway off of Koala rive onto our parcel that will meet the offset standards imposed by the epar1ment of Transportation from Highway 97 connector road. The development of a joint driveway access at the point where our two lots meet would be in the best interest of the City, but an easement needs to be granted over the NO parcel to guarantee the City will be allowed to traverse the property to the north to gain access to the City parcel from the driveway to be developed. To that end,- propose and affum that NO, LLC will grant an easement to the City of Omak for access to their lot identified by Assessor No. 94168 over and across a portion of the land owned by NO, LLC identified by Assessor No. 941616 in the location approximately depicted qn the attached Exhibit "A", to provide vehicle access to the City of Omak parcel that will result from the completion of the boundary line adjustment proposed-above. Robert E Tollefson Managing Member North Omak nvestments, LLC
Resolution No. 48-211 Exhibit "A'' : "" jg en g z. BOUNARY LNE AJUSTMENT FOR NOi, LLC & CTY OF OMAK WTHN KOALA BNNG STE PLAN NO. 4 OMAK, WASHNGTON --. :a -... LT 7 R C H,,6. R S - --- --- -------, K O A L A B N ASSESSOR NO. 941616 3.82 AC COHHERC! N G S T E CEHTER LOT 15 4 OL BOUNARY i;-<:5 : NEW BOUNARY\.;- -449_:_'W:._.3! -;o. -. --. 2 1/ "-, ASSESSOR NO N 52 49 'oo"w "./" "" Ȯ.J 94168 rgg:... 1 \ u t:. pg 1.47 AC L=54.98'.. <.:., H.O.!. SURVEY HQ. :1 ":-\J, / / N. 4 z!:;-?":/' GE 222 :.;->-- L=31.43' _J / R=2.' /. 78.17' 13.78' --!,./ N 89' 41'49"W / P L A N " C7fP... PLE R,4 / 15 3 O '-- Land Surveying, LLC SURYfil'lNG LAN USE PLANNNG 115 KOALA RVE 11 E. LOCUST ST. OMAK, WA WATERVLLE, WA (59) 826-1763 (59) 745-853 ATE: 8-9- 11 WG NAME: CTY BLA.WG RAWN BY: BEB JOB NO.: 198 SCALE: 1" = 15' SHEET 1 OF 2
w w. \ in pi a, > O') O z CJ),,-j l z <( ::::E w w a...j.o fi ' (' u z BOUNARY LNE AJUSTMENT FOR NOi, LLC & CTY OF OMA!{ WTHN KOALA BNNG STE PLAN NO. 4 OMAK, WASHNGTON NOi, LLC ASSESSOR NO. 941616 3.82 AC NEW BOUNARY \ N ag 41 49"w, 33.95' \ 1195 S.F. TO BE TRANSFERRE FROM NOi, LLC TO CTY OF OMAK CTY OF OMAK ASSESSOR NO. 94168 1.47 AC BOUNARY 115 S.F. TO BE TRANSFERRE FROM CTY OF OMAK TO NOi, \' (b 'vf C5 'V <v ") jq / ' l"'i ""'i --\:-() / s' m V >< ::r ct. - C":::, -Z,....,.,.p., ),.. "' N.,lo,... _.,. _._.i.,_.-. SCALE 1 " =5' 25 5 1 Land Surveying, LLC SURVEYNG LAN USE PLANNNG 115 KOALA RVE 11 E. LOCUST ST. OMAK, WA WATERVLLE, WA (59) 826-1763 (59) 745-853 ATE: 8-9-11 WG NAME: CTY BLA.WG RAWN BY: BEB JOB NO.: 198 SCALE: 1" =5' SHEET 2 OF 2 ------ - ------- -- - ----- -. - - ------ -- --- -- - ---- -- - --