Form ID

Publication date

Location of premises

Certificate

Siteworks

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Loblaw Inc.
Address of Owner
1 President’s Choice Circle, 4th Floor, South Tower, Br
Name of Contractor
Interpaving Limited
Address of Contractor
76 Loach's Road, Sudbury, ON P3E 2P7
Name of Certifier
Loblaw Properties Limited
Address of Certifier
Same as above

Identification of Premises

Part of the south half of Lot 20, Part 13 and 16 Plan 5R-268, Township of Gloucester, County of Carleton