Form ID

Publication date

Location of premises

Certificate

Cottage and Accessory Building

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
M. I. Holden
Address of Owner
20 Wellington Street, Brantford, ON N3T 5V6
Name of Contractor
Country Fine Homes Ltd.
Address of Contractor
RR#3, Box #5, Southdale Road, Parry Sound, ON P2A 2W9
Name of Certifier
J. Bryon Wiebe c/o Wiebe Engineering Group Inc.
Address of Certifier
50 Dalhousie Street, Suite 205, Brantford, ON N3T 2H8

Identification of Premises

26 Joliffe Lane F.R. #38, Twp. of Carling, ON, Parcel 11, 957 P.S.S.S., Lot 4, Plan M243, Township of Carling, District of Parry Sound