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Town of Shelter Island, NY
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Town of Shelter Island
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Pre 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
You must complete all required sections of the application.
Complete one application for each vessel.
Spaces at each location are available on a first-come, first-served basis. If your preferred location does not appear in the selection box below, that location is already sold out.
Boats used for mooring access (tendering) must supply their mooring permit number.
Limit two permits per location, per applicant.
Provider Name
Town of Shelter Island, NY
Provider Mailing Address
Attn: Town Clerk
P. O. Box 1549, 38 North Ferry Road
Shelter Island, NY 11964-1549
Provider Phone
631-749-1166
Provider Email
townclerk@shelterislandtown.gov
Application
Permit Number
KVOKPNGJ
Application Status
Unknown
Application Phase
Other Public Access
Application Type
Storage Permit (Large)
Application Sticker Number
If Approved, How Will You Get Your Permit?
Applicant
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
Mobile Phone
Email Address
Vessel
Hull ID
Vessel Type
Characteristics
Vessel Make
Vessel Model
Vessel Color
Other
Tender?
Is this vessel used to access your mooring near this location?
If Tender, associated Mooring #
Distinguishing Features
Berth
Choose a Berth
Large Storage - Harbor Head Road West
Large Storage - Wades Beach West
Attachments
Attach a paper copy of each attachment listed below:
Proof of Residency
*
Please provide a copy of your driver's license, vehicle registration, or property tax receipt or lease.
Acceptance
Terms and Conditions
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TOWN CODE CHAPTER 40-5(c) SUMMARY
All boats must display a valid Town Boat Storage Permit Sticker in a visible location.
All boats must be removed by December 1.
All boats must be safely secured. At locations where racks are provided, your boat must be stored on the rack.
All boats should have the owner’s name and contact phone number visibly displayed. (Use contrasting paint, a durable label, or a broad, black, permanent marker.)
ANY BOAT IN VIOLATION OF THE ABOVE BOAT MAY BE IMPOUNDED WITHOUT PRIOR NOTICE.
PROTECT OUR WETLANDS AND BEACHES
Boat Storage is allowed only at designated locations. No Boat Storage is allowed at Reel Point, Shell Beach or on any wetlands or dunes.
SAFETY FIRST!
ALL BOATERS ARE REQUIRED, BY LAW, TO CARRY PROPERLY FITTED PERSONAL FLOTATION DEVICES (PFDs). ONE FOR EACH PERSON ON BOARD AND A SOUND SIGNALING DEVICE (WHISTLE OR HORN). We strongly recommend you wear your PFD whenever underway: PFDs SAVE LIVES!
I have read and understand the Online Mooring
User Terms and Conditions
Signature
Date
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