Form ID

Publication date

Location of premises

Certificate

Interior Renovation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Loblaws Properties Limited
Address of Owner
1 President's Choice Circle, Brampton, ON
Name of Contractor
Icon Constructors Inc.
Address of Contractor
97 Buttermill Avenue, Vaughan, ON

Identification of Premises

Your Independent Grocer Ingersoll, 273 King Street West, Ingersoll, Ontario