Section Pda 709.02 - Single-Use State-Owned Restricted Pier Slip Permit Application Form(a) The applicant, the division director, or an employee of the division shall enter the following information provided by an applicant under Pda 706.02(c) on a single-use state-owned restricted pier slip permit application form: (1) The applicant's full legal name;(2) The applicant's permanent address;(3) The applicant's telephone number(s) including: a. Business telephone number;b. Home telephone number;c. Cell telephone number, if different from permanent telephone number; andd. An emergency contact telephone number;(4) The following information pertaining to the vessel and registration and identification numbers:b. New Hampshire or other state registration number or International Maritime Organization number;c. Federal documentation number, if applicable;(5) The state-owned restricted pier for which the applicant is seeking a slip permit and the reason the applicant wishes to use the state-owned restricted pier; and(6) The amount of slip space requested at the pier identified in (5) above.(b) The form shall require the division director or an employee of the division to verify that the applicant has displayed the documentation required under Pda 706.02(e)(1).(c) By his or her signature, the applicant shall certify the following: "I certify that the statements and information in this application are to the best of my knowledge and belief true, accurate and complete. I am aware that my state-owned restricted pier slip permit may be withdrawn by the Pease Development Authority for submitting false statements or information or omitting required statements or information."
(d) The applicant or the applicant's duly authorized officer or membershall sign and date the application.N.H. Admin. Code § Pda 709.02
Amended by Volume XXXV Number 45, Filed November 12, 2015, Proposed by #10949, Effective 10/20/2015, Expires 10/20/2025.