Form ID

Publication date

Location of premises

Certificate

Excavation and removal of material off site

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1077022 Ontario Incorporated
Address of Owner
80 Tiverton Ct., Suite #300, Markham, ON
Name of Contractor
York Excavating & Grading Co. Ltd.
Address of Contractor
8635 Keele St., Concord, ON L4K 2N1
Name of Certifier
Hans Kukk
Address of Certifier
As above

Identification of Premises

Park of Block 22, Parts 1, 2, 3, 5 & 6 on Plan 43R 14765