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Town of Southport, Maine
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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 Southport, Maine
Provider Mailing Address
Town Of Southport
P.O. Box 149
Southport, ME 04576
Provider Phone
Tim/ Harbor Master(D)207-350-9063 (O)207-633-3318
Provider Email
southportharbormaster@gmail.com
Application
Reference Number
ORAXWUGF
Application Status
Unknown
Application Phase
Other Public Access
Application Type
Individual Mooring Permit
Application Subtype
Application Sticker Number
Please Choose One Of The Following
Applicant
First Name
Middle Name
Last Name
Contact Information
Mailing Street
Mailing City
Mailing State
Mailing Zip
Use Same Address Below
Local Street Number
Local Street Name
Local State
Local Zip Code
Home Phone
Alternate Phone Number
Mobile Phone
Email Address
Vessel
Reg or Doc #
Boat Registration Portal
Vessel Name
Vessel Type
Size
Length
feet
inches
Draft
feet
inches
Characteristics
Vessel Color
Engine
Engine Type
Other
Vessel Photo(s)
(Maximum file size=10MB)
Vessel Owner’s Name
Mooring
Mooring Number
Location
Mooring location
Application Latitude/Longitude
Inspection
Service Provider
Inspection Status
Not applicable
Inspection Date
Must be completed every 4 years.
Primary Tackle
Block Type
Block Weight
Chain Size
Chain Length
feet
inches
Pennant Diameter
Pennant Length
feet
inches
Attachments
Attach a paper copy of each attachment listed below:
Boat Registration
*
Expiration Date
Acceptance
Terms and Conditions
30%">
I certify that the above information is true and correct. If I am not the owner of the above vessel I further certify that I am the master of the described vessel and I am authorized to make this application on behalf of the owner.
I understand that the Harbor Master may require document verification of any information provided herein, and that any materially false statement shall be grounds for revocation of a mooring permit issued hereunder, in accordance with the Ordinances of the Town of Southport.
All moorings must be properly registered, marked and tagged by July Ist each year. Any moorings found without the without the proper tag and or numbers after the above date will be considered illegal and may be removed at the expense of the owner.
I have read and understand the Online Mooring
User Terms and Conditions
Signature
Date
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