Form ID

Publication date

Location of premises

Certificate

Municipal Services (water, storm and sanitary).

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Brigadoon Holdings (Cross) Inc.
Address of Owner
697 Coronation Boulevard, Cambridge, ON N1R 3G5.
Name of Contractor
J.G. Goetz Construction Limited.
Address of Contractor
400 Elizabeth St., Guelph, ON N1H 6L3.
Name of Certifier
Wright-Dietrich.
Address of Certifier
697 Coronation Boulevard, Cambridge, ON N1R 3G5.

Identification of Premises

Part of Lots 12 and 13, Registered Plan 314 and Part of Subdivison Lot 3, Concession 9, West of the Grand River, R.P. 58M-108.

Office to which claim for lien must be given to preserve lien

City of Cambridge, 73 Water Street North, Cambridge, Ontario N1R 5W8 Attention