Form ID

Publication date

Location of premises

Certificate

Single Family Home

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ronda Marlene Myers and Ronald John Myers
Address of Owner
1086 Elgin Young Rd., RR1, Mountain Grove, Ontario K0H 2E0
Name of Contractor
Owner
Address of Contractor
same as above

Identification of Premises

Parcel Identifier: 36222-0041 (R) Part of Lot 2, Concession 6, being Part 2 on Plan 13R-8592, Township of Central Frontenac, geographic Township of Frontenac.