Town of Bristol, RI
 
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Instructions

Please submit this form using any of the contact methods provided below.

Instructions
Provider Name
Bristol
Provider Mailing Address
10 Court Street

Bristol, RI 02809-7000
Provider Phone
4012531700
Provider FAX
(401) 253-1706
Provider Email
jalves@bristolri.gov

Application

Reference Number
ESKWNQGB
Application Status
Unknown
Application Phase
Other Public Access
Application Type
Dinghy Water Storage (Church Street Dock)
Application Comments

Applicant

Mobile Phone
First Name
Middle Name
Last Name
Suffix
Contact Information
Mailing Street
Mailing City
Mailing State
Mailing Zip
Use Same Address Below
Local Street Name
Local City
Local State
Local Zip Code
Home Phone (Summer)
Home Phone (Winter)
Work Phone
Email Address
Additional Information
Applicant Comments
Class
Please circle one of the following:

Commercial Non Resident

Commercial Resident

Commercial Waterfront Business

Marine Business

Non-Resident

Resident

Winter
Emergency Contact
Emergency Contact Phone
Emergency Contact E-mail

Vessel

Registration State
Reg or Doc #
Vessel Name
Hull ID
Vessel Type
Please circle one of the following:

Sail
Size
Length
  feet     inches
Beam
  feet     inches
Draft
  feet     inches
Characteristics
Vessel Make
Vessel Color
Accessories
MSD
Other
Vessel Photo(s)
(Maximum file size=10MB)
MSD Decal Number
MSD Certifying Agent
Vessel Comments

Berth

Mooring Number
Berth Type
Please circle one of the following:

Dinghy Rack

Dinghy Water Storage

Dock

Kayak Rack

Mooring

Wire
Inspection
Seasonal Status
Location
Location
Please circle one of the following:

Commercial Rentals
Please circle one of the following:

Bristol Yacht Club

Elks Club

Herreschoff Museum
Inspection Comments
Other
Access Point

Attachments

Attach a paper copy of each attachment listed below:
Driver’s License *
Expiration Date
 
Current Utility Bill *
Applicants Applying or Renewing their application and claiming Bristol,RI Residency MUST upload a current Utility Bill.
NOTE: The ONLY acceptable Utility Bills are electric or gas.

Acceptance

Terms and Conditions
I have read and understand the Town of Bristol's Mooring and Dock Regulations. I also understand that false information or violation of the Rules and Regulations could result in the loss of the dock permit. The applicant hereby swears that he or she is a Bristol resident and that all information submitted above is true to the best of his or her knowledge and that all fees must be paid in full by March 15th.


I understand and agree to all ordinances, dock agreement rules and regulations on file. Sec. 8-64. - Permitting slips at town docks

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