Form ID

Publication date

Location of premises

Certificate

New Residence

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Peter & Lynne Burns
Address of Owner
3 Whispering Pine Lane, Tillsonburg, ON
Name of Contractor
Grassmere Construction Ltd.
Address of Contractor
49 North Street East, Tillsonburg, ON N4G 1B4

Identification of Premises

Lot 2 M158