Form ID

Publication date

Location of premises

Certificate

Laurel Creek Village West - Stage 3 Servicing Contract 05-K696-1 (excluding Wild Ginger Emergency Road)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Activa Holdings Inc. and 868361 Ontario Ltd.
Address of Owner
735 Bridge Street West, Waterloo, ON N2V 2H1
Name of Contractor
Regional Sewer and Watermain Ltd.
Address of Contractor
R.R. No. 33, 1316 Dickie Settlement Road, Cambridge, ON N3H
Name of Certifier
Planning & Engineering Initiatives Ltd.
Address of Certifier
379 Queen Street South, Kitchener, ON N2G 1W6

Identification of Premises

30T-97022 Part of Lot 44, GCT, City of Waterloo, Metz and Lorentz Ltd. File Number W4-318-47 April 15, 2005