Town of Kittery, Maine
 
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Instructions

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

Instructions
Provider Name
Town of Kittery
Provider Mailing Address
Attn: John Brosnihan
200 Rogers Road
Kittery, ME 03904
Provider Phone
207-451-0829
Provider FAX
207-439-6806
Provider Email
harbormaster@kitterypolice.com;bpattullo@kitterypolice.com

Application

Application Status
Unknown
Application Type
Facility Use Permit
Category
Please circle one of the following:

Single Use
Application Sticker Number

Applicant

Mobile Phone
First Name
Last Name
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
Kittery Resident
Please circle one of the following:

Yes

Vessel

Reg or Doc #
If this is a state registered vessel, enter the registration number, starting with the state prefix. If this is a federally documented vessel, enter "US" followed by the documentation number.
Vessel Name
Vessel Usage
Please circle one of the following:

Non Profit
Size
Length
  feet     inches
Beam
  feet     inches
Characteristics
Year Built
Engine
Engine Horsepower

Berth

Inspection
Seasonal Status

Acceptance

Terms and Conditions
I have read and understand the Town of Kittery Port Authority’s Rules and Regulations also understand that false information or violation of the Kittery Port Authority Rules and Regulations, Kittery Town Ordinances, State of Maine and Federal Maritime Laws could result in the loss of my mooring permit. The applicant hereby swears that all information submitted above is true to the best of his or her knowledge and that all mooring fees must be paid in full by April 15 annually.

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