Form ID

Publication date

Location of premises

Certificate

Addition to Administration Building

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Alpine Ski Club
Address of Owner
Part Lot 22/23, Concession 4, Arrowhead Road, Town of the Bl
Name of Contractor
Patrick B. Coulter & Associates Inc.
Address of Contractor
2 Mountain Road, Unit 11, Collingwood, ON L9Y 3Z8
Name of Certifier
Bill Williams
Address of Certifier
c/o Alpine Ski Club, R.R. #3, Collingwood, ON

Identification of Premises

Part Lot 22/23, Concession 4, Arrowhead Road, Town of the Blue Mountains, Ontario