Form ID

Publication date

Location of premises

Certificate

Burlington Gardens, 126-suite retirement residence and 4 duplexes (8units)

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Burlington Retirement Group Ltd.
Address of Owner
PO Box 14111, Salem, OR 97302
Name of Contractor
Colson & Colson General Contractor, Inc.
Address of Contractor
2250 McGilchrist St., SE, Salem, OR 97302

Identification of Premises

Part of Lot 9, Con BF described as Part 1 on Plan 20R-16308, Burlington as in PIN No. 07121-0128(LT) and Part of Lot 9, Con BF described as Part 2 on Plan 20R-16308, Burlington as in PIN No. 07121-0122(LT)