Form ID

Publication date

Location of premises

Certificate

Site Servicing - Stormwater Management Pond, Road, Sewers, Water, Hydro and Streetlighting

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1603941 Ontario Inc., c/o Piroli Developments (2004) Inc.
Address of Owner
8 Shawnee Court, Leamington,ON N8H 5A8
Name of Contractor
M.R.
Name of Certifier
Dillon Consulting Limited
Address of Certifier
3200 Deziel Drive, Suite 608, Windsor, ON N8W 5K8

Office to which claim for lien must be given to preserve lien

The Corporation of the Town of Lakeshore, Attention