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Town of The Blue Mountains,

Part Lot 37, Concession 12, Town of the Blue Mountains.

Part Lot 37, Concession 12, Town of the Blue Mountains.

Addition and Renovation to Existing Structure.

Date substantially performed:

1999-08-06

Date certificate signed:

1999-08-16

Name of Owner

Larry Gross.

Address of Owner

Part Lot 37, Concession 12, Town of the Blue Mountains, Onta

Name of Contractor

Patrick B. Coulter & Associates Inc.

Address of Contractor

2 Mountain Road, Unit 11, Collingwood, ON L9Y 3Z8.

Name of Certifier

Lucien Delean.

Address of Certifier

528 Cassells Street, North Bay, ON.

Part Lot 37, Concesion 12, Town of the Blue Mountains, Ontario.