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Town of Provincetown, Massachusetts
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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 Provincetown
Provider Mailing Address
260 Commercial Street
Provincetown, MA 02657
Provider Phone
(508) 487-7030
Provider Email
dgerman@provincetown-ma.gov
Application
Reference Number
VUDIXZGM
Application Status
Unknown
Application Phase
Other Public Access
Application Type
Mooring Permit
Applicant
First Name
Middle Name
Last Name
Contact Information
Local Street Name
Local City
Local State
Local Zip Code
Use Same Address Below
Preferred Mailing Street Number
Preferred Mailing Street Name
Preferred Mailing City
Preferred Mailing State
Preferred Mailing Zip Code
Primary Phone
Mobile Phone
Email Address
Vessel
Reg or Doc #
Attach insurance docs for all boats 20'+, or 30+ HP engine, or inboard or inboard/outboard, or houseboats.
Vessel Name
Primary Use Of Vessel
Vessel Type
Size
Length
feet
inches
Draft
feet
inches
Characteristics
Year Built
Builder?
Vessel Color
Trim Color
Acceptance
Terms and Conditions
30%">
BY SIGNING ABOVE, THE PERMIT HOLDER ACKNOWLEDGES THAT ALL INFORMATION IN THE APPLICATION IS CORRECT. A LATE FEE OF $50 WILL BE ASSESSED JULY 1st AND AN ADDITIONAL $50 WILL BE ASSESSED AUGUST 1st. AS OF SEPTEMBER 1st, THE MOORING REVERTS TO THE TOWN OF PROVINCETOWN FOR POSSIBLE REASSIGNMENT.
I have read and understand the Online Mooring
User Terms and Conditions
Signature
Date
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