Form ID

Publication date

Location of premises

Certificate

Addition

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Champlain Manor
Address of Owner
65 Fittons Road, Orillia, ON
Name of Contractor
Bertram Construction & Design Ltd.
Address of Contractor
25 George Street, Barrie, ON L4N 2G5
Name of Certifier
Robert Dyck
Address of Certifier
76 Benton Street, Kitchener, ON N2H 3H3

Identification of Premises

Part Lot 39, Registered Plan 395 and Part Lot 6 Concession 4 (south Orillia), City of Orillia, County of Simcoe