Form ID

Publication date

Location of premises

Certificate

Addition to com/retail plaza

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Raelo Limied
Address of Owner
22 Goodram Dr., Burlington, ON
Name of Contractor
Robert Bice Construction Inc.
Address of Contractor
318 Neptune Crescent, London, ON N6M 1A1
Name of Certifier
H.M. Gibson
Address of Certifier
68 High St., London, ON N6C 4J9

Identification of Premises

Part 2 Lot A RP 418 Municipality Chatham-Kent Inst. #478866