Form ID

Publication date

Location of premises

Certificate

Renovations to existing structure

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Gerald Brandon
Address of Owner
484 Ferguson Avenue, Haileybury, ON
Name of Contractor
Gerald Brandon
Address of Contractor
484 Ferguson Avenue, Haileybury, ON

Identification of Premises

484 Ferguson Avenue, Haileybury, ON P0J 1K0 PCL 2184 SEC SST; PT LT 11 BLK J PL M13NB BUCKE; PT LT 12 BLK J PL M13NB BUCKE AS IN LT37333, S/T LT27333; T/W LT37333; TEMISKAMING SHORES; DISTRICT OF TIMISKAMING, City of Temiskaming Shores (PIN NO.: 61397-0174