Form ID

Publication date

Location of premises

Certificate

Site servicing and surface works (Partial)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
2027103 Ontario Ltd.
Address of Owner
50 Groh Ave., Cambridge, ON N3C 1Y9
Name of Contractor
Gateman-Milloy Inc.
Address of Contractor
270 Shoemaker Street, Kitchener, ON N2E 3E1
Name of Certifier
Baxter I.C.I. Corp.
Address of Certifier
112-3 Father Dave Bauer Dr. Waterloo ON N2L 6M1

Identification of Premises

Pt. Lt. 19-20 Con Beasley’s Broken Front Twp. of Waterloo Parts 5, 8, 10 & 21 58R10806 Cambridge