Fillable Vessel Registration Form 2018 (City of Gustavus)

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Vessel Registration Form 2018 (City of Gustavus)

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The Vessel Registration Form 2018 (City of Gustavus) form is 1 page long and contains:

  • 1 signature
  • 5 check-boxes
  • 24 other fields

Country of origin: US
File type: PDF

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Reference: Resolution CY15-34
City of Gustavus, Alaska
Vessel Registration
CITY OF GUSTAVUS
VESSEL REGISTRATION FORM
Gustavus Small Vessel Float System and Salmon River Boat Harbor Facility
Information Required for All Vessels
Owner Name
Owner Address
Owner Home Phone
Owner Cell Phone
Vessel Name
Vessel #
Vessel Length
Kayak
$10.00 (One Time Fee)
Private
$50.00 Annually
Commercial/Charter
$300.00 Annually
Additional Information for Tenders and Trailers
Tender (Provide ID)
Trailer (Provide License
Plate # or other ID)
Additional Commercial/Charter Vessel Information
Captain’s Name (If different from Owner)
Captain’s Home
Phone
Captain’s Cell Phone
Additional Kayak Information
Kayak Make/Model
Kayak Special
Identifying
Marks/Decals
Number of Cockpits
Kayak Color
Signature Required for All Vessels
City of Gustavus Ordinance 8.03 Section 8.03.010 Registration Required.
Each owner, master, or managing agent of a vessel using the harbor facilities is required to register the person's name,
address, and telephone number, and the vessel's name, with the Harbormaster/City and will be required to sign a user
agreement. Registration forms will be available at the harbor sites. Said owner master or managing agent shall promptly
notify the harbormaster/City of Gustavus of any changes in registration information.
I agree to abide by the provisions of City of Gustavus Title 8, Marine Facilities Ordinance.
Signature
Date
For City Use Only
Amount Paid
$
Employee Initials:
QB SS XL
Payment Method:
Stickers Issued:
CASH / RECEIPT #
Vessel Sticker Number
CHECK #
Trailer Sticker Number
CC APPROVAL CODE
Tender Sticker Number
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Vessel Registration Form 2018 (City of Gustavus)

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Completed 17 February 2021

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