Form ID

Publication date

Location of premises

Certificate

Construction of a New 5,000 sf Dental Office

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Dr. Jay Chang, Dentistry Professional Corporation
Address of Owner
39 Baron Crescent, R.R. #5, Komoka, ON N0L 1R0
Name of Contractor
MCI Design-Build Corporation
Address of Contractor
2081 Oxford St. East, London, ON N5V 2Z7

Identification of Premises

Plan 11R-8886 Part of Lot C or 45 Gore Lot, concession North Talbot Road, Township of Southwold, County of Elgin