Form ID

Publication date

Location of premises

Certificate

Sugarbush Campground, Sewage Pumping Station and Forcemain.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
552556 Ontario Limited.
Address of Owner
R.R. #1, Box 607, Bayfield, Ont. N0M 1G0.
Name of Contractor
Brohn Developments Incorporated.
Address of Contractor
R.R. #2, Parkhill, Ont. N0M 2K0.
Name of Certifier
B.M. Ross and Associates Limited.
Address of Certifier
62 North Street, Goderich, Ont. N7A 2T4.

Identification of Premises

Part Lot 2, Lake Road West Concession, Instrument No. 273274.