Form ID

Publication date

Location of premises

Certificate

New Facility.

Date substantially performed:
Date certificate signed:

Participants

Name of Certifier
Larry Leis.
Address of Certifier
as owner.
Name of Owner
1291162 Ontario Limited.
Address of Owner
RR #2, Baden, ON.
Name of Contractor
Calladan Construction (1992) Limited.
Address of Contractor
PO Box 122, Petersburg, ON N0B 2H0.

Identification of Premises

Part Block 4, Plan M274, Town of Milton.