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Town of Rockport, ME
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Application Completion
Instructions
Please submit this form using any of the contact methods provided below.
Instructions
Provider Name
Town of Rockport
Provider Mailing Address
Attn: Town Clerk's Office
101 Main Street
Rockport, ME 04856
Provider Phone
207-236-9648
Provider FAX
207-230-0112
Provider Email
aleonard@rockportmaine.gov
Application
Reference Number
BHBSBBHM
Application Status
Unknown
Application Phase
Other Public Access
Application Type
Commercial Float & Park Permit
Applicant
First Name
Middle Name
Last Name
Suffix
Contact Information
Mailing Street
Mailing City
Mailing State
Mailing Zip
Use Same Address Below
Physical Street
Physical City
Physical State
Physical ZIP
Home Phone
Mobile Phone
Work Phone
Email Address
Additional Information
Resident?
Vessel
Reg or Doc #
Size
Length
feet
inches
Beam
feet
inches
Characteristics
Vessel Make
Vessel Color
Other
Vessel Photo(s)
(Maximum file size=10MB)
Berth
Inspection
Seasonal Status
Location
Application Latitude/Longitude
Latitude
Degrees
Minutes
Seconds
Longitude
Degrees
Minutes
Seconds
Attachments
Attach a paper copy of each attachment listed below:
Excise Tax Receipt
*
Expiration Date
Paper Copy Received
Acceptance
Terms and Conditions
30%">
I have read and understand the Online Mooring
User Terms and Conditions
Signature
Date
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