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Town of Westerly, RI
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Westerly Mooring Field Boundary Lines
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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
Mooring permit applications are due by March 1st.
Provider Name
Town of Westerly
Provider Mailing Address
Tax Collector's Office -
45 Broad Street
Westerly, RI 02891
Provider Phone
(401) 714-4114
Provider Email
krayner@westerlypolice.org
Application
Application Status
Unknown
Applicant
First Name
Last Name
Contact Information
Mailing Street
Mailing City
Mailing State
Mailing Zip
Use Same Address Below
Local Street Number
Local Street Name
Local City
Local State
Local Zip Code
Primary Phone
Mobile Phone
Work Phone
Email Address
Emergency Contact
Emergency Contact Name
Emergency Contact Home Phone
Emergency Contact Email
Additional Information
Resident?
Vessel
Vessel Type
Size
Length
feet
inches
Wait List
Wait List Selection
Select up to 1 list(s):
List Name
Colonel Willie Cove
Haversham East
Haversham West
Point Dock at Shelter Harbor
Riparian Permit (Waterfront Property Owner)
The Groves at Shelter Harbor
Watch Hill Cove
Weekapaug Cove
Attachments
Attach a paper copy of each attachment listed below:
Inspection Report
Acceptance
Terms and Conditions
Mooring Permit Application:
I certify that the information on this application is correct and that fees must be paid by credit card or Electronic Check. Fees associated with this application are non-refundable. I further understand that I must comply with all town mooring ordinances, or this permit may be revoked.
Moorings must be occupied as the primary berth for the vessel.
By checking this box and typing my name, I intend to electronically affix my signature, indicating that I have read, understand and affirm this attestation. *
Waiting List Application:
I certify that the information on this application is correct. I further understand that this is an application to be placed on a waiting list for a mooring and that this application is required to be renewed annually.
I have read and understand the Online Mooring
User Terms and Conditions
Signature
Date
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