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Town of Jamestown, RI
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Jamestown Harbor Office
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Instructions
Application
Applicant
Vessel
Wait List
Attachments
Acceptance
Instructions
Please complete the application, then click the "Next" button below
. For help on any field, move the mouse over the field name.
Instructions
Please submit an initial application fee of $17, per application. Wait list renewals are mailed in January of each year, and a $12.10 wait list renewal fee, per application renewal, is due at that time.
Provider Name
Town of Jamestown
Provider Mailing Address
Harbor Office
250 Conanicus Avenue
Jamestown, RI 02835
Provider Phone
401-423-7190
Provider Email
jrich@jamestownri.net
Application
Application Type
Mooring Permit
Permit Class
1a
3
Applicant
First Name
Last Name
Contact Information
Mailing Street
Mailing City
Mailing State
Mailing Zip
Local City
Local State
Local Zip Code
Home Phone
Mobile Phone
Email Address
Additional Information
Applicant Comments
Resident of Jamestown?
Club Mooring
No
Yes
Taxpayer in Jamestown?
No
Yes
Vessel
Registration State
Decal or USCG Doc #
Boat Name
Hull ID
Boat Type
Dinghy
Power
Sail
Other
Size
Length (ft)
feet
inches
Beam (ft)
feet
inches
Draft (ft)
feet
inches
Displacement
Characteristics
Year Built
Boat Make
Boat Model
Boat Color
Trim Color
Sail Color
Insurance
Insurer Name
Insurer Address
Insurer Phone
Insurance Policy Number
Other
Sleeping Accommodations
No
Yes
Vessel Photo(s)
(Maximum file size=10MB)
Boat Number
Boat Comments
Wait List
Wait List Selection
Select up to 1 list(s):
List Name
A
C
CMC
D
E
F
G
H
The codes refer to areas on the following chart:
Attachments
Please provide attachments below, preferably in a PDF or image format. To convert a paper document to electronic format, take a photo of the document.
If you can't provide an electronic copy, you can submit a paper copy offline.
If we have a current copy on file, you will see a link to it. Update the attachment if it has changed, or if requested.
Boat Registration
Filename
(Maximum file size=10MB)
Acceptance
Terms and Conditions
30%">
I hereby affirm that all information above is correct to the best of my knowledge.
R.I.G.L. 11-33-1(a) Every person under oath or affirmation who knowingly makes any false material declaration or makes or uses any other information, including any book, paper, document, record, recording, or othe rmaterial, knowing it contains any false material declaration, shall be deemed guilty of perjury.
I have read and understand the Online Mooring
User Terms and Conditions
I have read and accept these terms
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