Form ID

Publication date

Location of premises

Certificate

Addition and Alterations

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Mr. & Mrs. Robert Busby
Address of Owner
118 Birett Drive, Burlington, ON
Name of Contractor
Lakehurst Construction Inc.
Address of Contractor
1509 Oakhill Dr. Oakville, ON L6J 1Y4
Name of Certifier
Gren Weis Architect and Associates
Address of Certifier
341 Kerr Street, Suite 210, Oakville, ON L6K 3B7

Identification of Premises

Lot 6, Registered Plan M160, City of Burlington, Regional Municipality of Halton.