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Town of Kittery, Maine
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RIPARIAN MOORING APPLICATION
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2019 Wait List Application
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Application Form
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Application Completion
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 Email
KPA@KitteryME.org
Application
Application Status
Unknown
Application Type
Kayak Rack Permit
Application Sticker Number
Applicant
First Name
Middle Name
Last Name
Contact Information
Mailing Street
Mailing City
Mailing State
Mailing Zip
Use Same Address Below
Local Street Number
Local Street Name
Local City
Local State
Local Zip Code
Home Phone (Summer)
Home Phone (Winter)
Mobile Phone
Work Phone
Email Address
Additional Information
Kittery Resident
Vessel
Size
Length
feet
inches
Characteristics
Vessel Make
Vessel Model
Vessel Color
Other
Kayak Serial Number
Wait List
Wait List Selection
List Name
Traip Academy Boat Ramp
Mooring
Mooring Number
Acceptance
Terms and Conditions
I have read and understand the Online Mooring
User Terms and Conditions
Signature
Date
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