Form ID

Publication date

Location of premises

Certificate

Site Servicing, Site Grading, Curbs, Paving

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
1315050 Ontario Ltd.
Address of Owner
1220 Shoreview Drive, Innisfil, ON L9S 2L5
Name of Contractor
Duivenvoorden Haulage Ltd.
Address of Contractor
3425 9th Line, Innisfil, ON L9S 3Z6
Name of Certifier
Wm. N. Thompson P.Eng.
Address of Certifier
713 Penetanguishene Rd., Barrie, ON L4M 4Y8

Identification of Premises

Part Lot 6, Concession 8, Part 1&2 RP51-8040, Township of Springwater, County of Simcoe