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Instructions

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

Instructions
Provider Name
Tiverton Harbormaster
Provider Mailing Address
343 Highland Road

Tiverton, RI 02878
Provider Phone
401-625-1916
Provider FAX
Provider Email
harbormaster2@tiverton.ri.gov

Application

Reference Number
KNCJVXHX
Application Status
Unknown
Application Phase
Other Public Access
Application Type
Dinghy Dock
Application Sticker Number

Applicant

Mobile Phone
First Name
Middle Name
Last Name
Contact Information
Mailing Street
Mailing City
Mailing State
Mailing Zip Code
Email Address

Vessel

Dinghy
Dinghy Length
  feet     inches
Dinghy Make

Mooring

Mooring Number

Attachments

Acceptance

Terms and Conditions
- Parking will be behind the "Red Dory Restaurant"
- Max size dingy 14'
- Dingy attachment should be 6' to 8'
- Permit grant (usage) May 15th thru October 15th
- Permit sticker must be on dingy and vehicle
- Ten dingy limit on first come first serve basis but priority will be granted to previous permit holders
- It is the permit holder's responsibility to keep their data accurate.

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