Form ID

Publication date

Location of premises

Certificate

Home built on subject property

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Michael Robert Potter
Address of Owner
3665 Front Rd, Hawkesbury ON K6A 2W5
Name of Contractor
Michael Robert Potter
Address of Contractor
3665 Front Rd, Hawkesbury ON K6A 2W5

Identification of Premises

Part Lot 36, Broken Front Concession and Concession 1, being Part 5 on Plan 46R-6680, Township of East Hawkesbury, County of Prescott