Form ID

Publication date

Location of premises

Certificate

Reconstruction of existing housekeeping units

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Breaker’s Estates Limited
Address of Owner
94 Green Street, Cobourg, ON
Name of Contractor
Don K. Clarke Construction
Address of Contractor
RR #1, Castleton, ON K0K 1M0
Name of Certifier
Bruce MacNeill Architect
Address of Certifier
317 Henry Street, Cobourg, ON K9A 3Y7

Identification of Premises

Part 1 - Lots 4, 5, 6, 22, 23 & 24, Tier 4, Caddy Plan Town of Cobourg, County of Northumberland