Fillable Havens Beach Boat Storage Application 2021 HAVENS BEACH (Incorporated Village of Sag Harbor)

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Havens Beach Boat Storage Application 2021 HAVENS BEACH (Incorporated Village of Sag Harbor)

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U.S.A. forms for Incorporated Village of Sag Harbor

BROWSE INCORPORATED VILLAGE OF SAG HARBOR (NY) FORMS

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Village of Sag Harbor
Haven’s Beach Boat Storage Application
P.O. Box 660 · 55 Main Street · Sag Harbor, NY · 11963
Phone: 631-725-0222 · Fax: 631-725-0316
2021 HAVEN’S BEACH BOAT STORAGE: APRIL 1 - OCTOBER 31, 2021
PERMIT #_____________________
THE 2021 STICKER MUST BE PLACED IN A VISIBLE SPOT ON YOUR BOAT WHILE AT HAVENS BEACH. BOATS WITHOUT
PERMITS WILL BE TOWED.
PLEASE PROVIDE THE VILLAGE WITH THE FOLLOWING INFORMATION:
NAME____________________________________________________________________________________________________________
MAILING ADDRESS________________________________________________________________________________________________
________________________________________________________________________________________________
LOCAL ADDRESS__________________________________________________________________________________________________
PHONE #__________________________________________________________________________________________________________
LOCAL PHONE #___________________________________________________________________________________________________
EMERGENCY PHONE #_____________________________________________________________________________________________
EMAIL ADDRESS__________________________________________________________________________________________________
CAR(S) LICENSE PLATE # (non-residents only) _________________________________________________________________________
BOAT TYPE ______________________________________________________________________________________________________
BOAT COLOR _____________________________________________________________________________________________________
CIRCLE ONE: VILLAGE RESIDENT / NON-RESIDENT PERMIT # ___________________________
SEASONAL STORAGE FEE ___________ R $180.00 / NR $515.00 (4/1/2021 – 10/31/2021)
OFF SEASON STORAGE FEE ___________ R $200.00 / NR $250.00 (11/1/2021 – 3/31/2022)
BEACH STICKER (PARKING PERMIT) ___________ R FREE (2 PER PROPERTY) / NR $100.00
(CAR REGISGRATION REQUIRED)
TOTAL PAYMENT ____________
*THE VILLAGE OF SAG HARBOR IS NOT RESPONSIBLE FOR ANY PROPERTY DAMAGED OR STOLEN AT HAVEN’S
BEACH
CUSTOMER SIGNATURE: ________________________________________________________ DATE __________________________
PERSONNEL SIGNATURE: _______________________________________________________ DATE ___________________________
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Havens Beach Boat Storage Application 2021 HAVENS BEACH (Incorporated Village of Sag Harbor)

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Completed 19 January 2021

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