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
Kayak Rack Permit
Application Sticker Number

Applicant

Mobile Phone
First Name
Middle 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:

No

Yes

Vessel

Size
Length
  feet     inches
Characteristics
Vessel Make
Vessel Model
Vessel Color
Other
Kayak Serial Number

Berth

Mooring Number

Acceptance

Terms and Conditions


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