Form ID

Publication date

Location of premises

Certificate

Building out of Staples, Broadway Restaurant, Subway & 2 other stores

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Brent Harden
Address of Owner
c/o La Maison d'or, Box 69, 110 Place d'Orleans Blvd., Orlea
Name of Contractor
Same as above
Address of Contractor
Same as above
Name of Certifier
Daniel D. Cote Construction Inc.
Address of Certifier
814B St. Joseph, P.O. Box 923, Rockland, ON K4K 1L5

Identification of Premises

Clarence Parts 1 + 4 on Plan 50R9082 Part of Lots 29 + 30, Concession 1 O.S. 2756 Chamberland St., Rockland, ON