Form ID

Publication date

Location of premises

Certificate

Site Servicing and Grading Works

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Town of Carleton Place
Address of Owner
175 Bridge Street, Carleton Place, ON K7C 2V8
Name of Contractor
Thomas Canavagh Construction Ltd.
Address of Contractor
R.R. #2, 9094 Highway #7, Ashton, ON K0A 1B0
Name of Certifier
Paul Knowles
Address of Certifier
Same as owner

Identification of Premises

Part 1 Plan 27R-3817 and Part 19 Plan 27R-5095