Form ID

Publication date

Location of premises

Certificate

Construction of the residential dwelling at the above-noted property

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Susan Sellan & Duane Percy
Address of Owner
141 Surf Club Drive, R.R. #1, St. Joachim, ON
Name of Contractor
Susan Sellan & Duane Percy
Address of Contractor
141 Surf Club Drive, R.R. #1, St. Joachim, ON

Identification of Premises

Parts 1 & 18, Part Lot A, Plan 12R-14103, County of Essex.