Form ID

Publication date

Location of premises

Certificate

New Tim Hortons Restaurant

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Dan Johnson
Address of Owner
Route #5, Wallaceburg, ON N8A 4L2
Name of Contractor
Concorde Contracting
Address of Contractor
2160 Fasan Drive, Oldcastle, ON N0R 1L0

Identification of Premises

Part 1 Part Lot 9 Reg. Plan #133