Form ID

Publication date

Location of premises

Certificate

Gas Station/Convenience Store

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
QS Investments Inc.
Address of Owner
6820 Sunset Blvd., Greely, ON K4P 1M6
Name of Contractor
Gray Pynn & Associates Inc.
Address of Contractor
6820 Sunset Blvd., Greely, ON K4P 1M6
Name of Certifier
Douglas B. Gray, P.Eng.
Address of Certifier
6820 Sunset Blvd., Greely, ON K4P 1M6

Identification of Premises

Part of the West Half of Lot 32, Concession 11 Geographic Township of Goulbourn now in the City of Ottawa (formerly in the City of Kanata) designated as Parts 2 and 3, Plan 4R-15871