Form ID

Publication date

Location of premises

Certificate

interior renovations

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Foodland - Millbrook
Address of Owner
6 Centre St Millbrook, ON
Name of Contractor
Above Board Construction Inc.
Address of Contractor
1731 Orangebrook Court, Pickering
Name of Certifier
Craig Kelsey
Address of Certifier
4980 Tahoe Blvd. Mississauga, ON

Identification of Premises

PIN 280120373 Lt 27 PL 8 Cavan: Pt Lt 25-26 28 PL 8 Cavan Pt2&3 9R1302, Pt 1 9R635: CVN-MIL-NMO