Form ID

Publication date

Location of premises

Certificate

Interior Fit Up

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Liquor Control Board of Ontario
Address of Owner
55 Lakeshore Blvd., 2nd Floor, Toronto, ON M5E 1A4
Name of Contractor
Kona Builders Limited
Address of Contractor
3171 Kingsway E., Sudbury ON P3B 2G5
Name of Certifier
Michael Spaziani Architect Inc.
Address of Certifier
6 Helene Street North, Suite 100, Port Credit, ON L5G 3B2

Identification of Premises

3140-24 Hwy. 69N, Val Caron, ON