Fillable VILLAGE OF SAG HARBOR DOCKS 2020 CHANGE REQUEST (Incorporated Village of Sag Harbor)

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VILLAGE OF SAG HARBOR DOCKS 2020 CHANGE REQUEST (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 DOCKS
2020 CHANGE REQUEST
Name__________________________________________________Phone___________________
Mailing
Address________________________________________________Email____________________
Resident or
________________________________________________Non-Resident______________
Residents must provide proof of residency as stated in the Berthing Agreement
Current Location__________________Request Change to: ___________________________
Mooring____Dinghy_____Cable_____A-Dock_____B-Dock_____Marine Park_____
Reason for Change Request_______________________________________________________
_____________________________________________________________________________
Boat Name____________________________________________________________________
Registration #_____________________ Manufacturer__________________________________
Type: Power______Sail_______ Length Overall________ Width_______Draft_________
If you will be docking a different boat from the one currently assigned to your slip, please complete a
new berthing agreement and provide a copy of the registration and insurance for the new boat.
New Boat Name______________________________________________________________
Registration #_____________________ Manufacturer__________________________________
Type: Power______Sail_______ Length Overall________ Width_______Draft_________
SIGNATURE___________________________________________________ DATE_______________________________
Please email completed Change Request to cmcgrath@sagharborny.gov or mail to:
Village of Sag Harbor
PO Box 660
Sag Harbor, NY 11963
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VILLAGE OF SAG HARBOR DOCKS 2020 CHANGE REQUEST (Incorporated Village of Sag Harbor)

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Completed 16 July 2020

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