Town of Bristol, RI
 
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Instructions

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

Instructions
Applications must be complete. A $25 application fee, made payable to the Town of Bristol, must accompany the completed application.
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
LJENBVGH
Application Status
Unknown
Application Type
Outhaul Permit

Applicant

Mobile Phone
First Name
Middle Name
Last Name
Suffix
Contact Information
Mailing Street
Mailing City
Mailing State
Mailing Zip
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 Fishing

Commercial Non Resident

Commercial Resident

Commercial Waterfront Business

Resident
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

Inspection
Seasonal Status

Attachments

Attach a paper copy of each attachment listed below:
Commercial Vessel Declaration
This is ONLY for Commercial Fishing and Marine Businesses. All other applications can check the Not Applicable Box.
Not Applicable
Expiration Date
 

Acceptance

Terms and Conditions
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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