Form ID

Publication date

Location of premises

Certificate

Construction of Home

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Gary Grant
Address of Owner
473541 County Rd 11
Name of Contractor
Gary Grant
Address of Contractor
473541 County Rd 11

Identification of Premises

Plan Cal 5 Blk 7 Pt Lot 2 RP 43R 36447 Parts 5 to 7