Form ID

Publication date

Location of premises

Certificate

New Storage Shed

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Peter & Denise Angst
Address of Owner
R.R. #3, Lucknow, ON N0G 2H0
Name of Contractor
Jim Van Osch Construction Ltd.
Address of Contractor
R.R. #3, Lucknow, ON N0G 2H0

Identification of Premises

35728 Zion Road, ACW Township, Huron County (Lot #1 & #2 Concession 13)