Form ID

Publication date

Location of premises

Certificate

New Single Family Residence

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Deborah Ball
Address of Owner
R.R. #2, 344 Mall Road, Tilsonburg, ON N4G 4G7
Name of Contractor
Grassmere Construction Ltd.
Address of Contractor
49 North Street East, Tillsonburg, ON N4G 1B4.

Identification of Premises

Part of Lot 17, Part 1, Conc. 3 N.T.R.