Form ID

Publication date

Location of premises

Certificate

Interior outfitting of Premises to LCBO current standards

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Liquor Control Board of Ontario
Address of Owner
55 Lakeshore Boulevard East, Toronto, ON M5E 1A4
Name of Contractor
Penalta Group Limited
Address of Contractor
521 North Service Road East, Suite 2B, Oakville, ON L6H 1A5
Name of Certifier
Maxine Shabsove Architect
Address of Certifier
169 Nelville Park Blvd., Toronto, ON M4E 3P7

Identification of Premises

Lot 1, Registered Plan 65M-2874, Pin 03641-0410 Lot 5, Registered Plan 65M-2874, Pin 03641-0411 (LT)