Form ID

Publication date

Location of premises

Certificate

Renovation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Great Atlantic & Pacific Company of Canada, Limited
Address of Owner
PO Box 68, Station A, Toronto, ON M5W 1A6
Name of Contractor
Primo General Contracting
Address of Contractor
19 Story St., Blenheim, ON N0P 1A0
Name of Certifier
Mr. Paul Gilroy
Address of Certifier
PO Box 68, Station A, Toronto, ON M5W 1A6

Identification of Premises

Plan of Subdivision M-333 Surface Rights Only Plan of Survey 53R-6761