Form ID

Publication date

Location of premises

Certificate

New Burger King Restaurant

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Don Hambleton
Address of Owner
939 Talbot Street, St. Thomas, ON
Name of Contractor
Reid & Deleye Contractors Ltd.
Address of Contractor
Box 272, Courtland, ON N0J 1E0.
Name of Certifier
Chamberlain Architect Services Limited
Address of Certifier
5096 South Service Road, Suite #103, Burlington, ON L7L 5H4

Identification of Premises

In the Town of Tillsonburg, in the County of Oxford, Lot 73, taken from Plan #500.