Town of Danvers, MA - Application Form

Town of Danvers, MA

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Pre Application

Application Form

Application Completion

All
Instructions
Application
Registered Vessel Owner
Vessel
Wait List
Acceptance

Instructions

Please complete the application, then click the "Save and Continue" button below. For help on any field, move the mouse over the field name.

Provider Phone

(978) 762-0210

Application

Reference Number

BDJMAKGF

Application Status

Unknown

Application Phase

Other Public Access

Application Type

MOORING

Registered Vessel Owner

Last Name

First Name

Middle Name

Date Of Birth

Contact Information

Mailing Street

Mailing City

Mailing State

Mailing Zip

Home Address is same

Local Street Name

Home City

Home State

Home ZIP Code

Home Phone

Work Phone

Mobile Phone

Email Address

Additional Information

Residency

Vessel

Reg or Doc #

Vessel Name

Hull ID

Vessel Type

Length

feet

inches

Beam

feet

inches

Draft

feet

inches

Year Built

Vessel Make

Vessel Model

Vessel Color

Trim Color

Use

Vessel Photo(s)

(Maximum file size=4MB)

Wait List

Wait List Selection

List Name

Mooring Wait List

Acceptance

Terms and Conditions

I, as owner of the above listed vessel hereby certify that all the information provided on this application is true and correct to the best of my knowledge. I understand that falsifying information on a permit application shall be grounds for refusal or forfeit of privileges and permit. I have read and understand the By-Laws, Rules and Regulations for Danvers Harbor and agree to abide by them.

I have read and understand the Online Mooring User Terms and Conditions

I have read and accept these terms

Save and Continue

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