Form ID

Publication date

Location of premises

Certificate

Noise Attenuation Berm Planting Plan Entry Feature Planting Plan

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Emshih Development
Address of Owner
895 Brant Street, Unit 7, Burlington, ON L7R 2J6
Name of Contractor
Ciccarelli & Sons Contracting Ltd.
Address of Contractor
807 Hwy. 53 East, R.R. #1, Ancaster, ON L9G 3K9
Name of Certifier
Stephan Crispin
Address of Certifier
Dougan & Associates, 7 Waterloo Ave., Guelph, ON N1H 3W4

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

Emshih Development Office, as above