Village of Maple Bluff

VILLAGE OF MAPLE BLUFF MARINA: BOAT STORAGE APPLICATION AND AGREEMENT 2015 Owner #1: ______Home #: ______Work #: ______Cell #: ______Owner #2: ______Home #: ______Work #: ______Cell #: ______Owner Address: ______City: ______State: ______Zip Code: ______Email Address: ______*Village Resident should be listed as primary (#1)

APPLICATION IS DUE BY FRIDAY, MARCH 13 AT 3:00PM. FAILURE TO SUBMIT APPLICATION AND COPY OF REGISTRATION WILL BE SUBJECT TO 1.5% LATE FEE OF YOUR TOTAL AND COULD RESULT IN FORFITURE OF PRIOR RENTAL SPACE. I hereby make application for storage space for the item(s) listed below, which are my personal property. If the Village of Maple Bluff accepts my storage application, I agree (i) to abide by the attached Marina Boat Storage and Use of Facility Policies; (ii) to the terms and fees as stated below; and (iii) enclose the correct fee with my application. I am aware that storage spaces are not transferable. The amounts below include 5.5% Wisconsin State Sales Tax.

WATER CRAFT INFORMATION

Power Boats: Boat Make: ______Length: ______Color: ______WI Registration #: ______

Sail Boats: Boat Make: ______Length: ______Color: ______WI Registration #: ______

Canoe/Kayaks/Shells: Located inside the Maple Bluff Boat House Boat Make: ______Length: ______Color: ______WI Reg. # or Serial #: ______

Please check all that apply in your rental request: (NON-RESIDENT RATES ARE DOUBLE) ____ Outdoor Boat & Trailer May 1, 2015 – October 14, 2015 $197.28 ____ Outdoor Boat & Trailer October 15, 2015 – April 30, 2016 $197.28 ____ In-water Shore Station May 1, 2015 – October 14, 2015 $656.21 Spaces are in water – includes installation & removal of hoist and winter storage ____ Shoreline Storage (10’ boats) May 1, 2015 – October 1, 2015 $262.70 ____ Inside Kayak/Canoe Storage May 1, 2015 – April 30, 2016 $150.87 **Rates reflect a 10% increase plus 5.5% sales tax Make checks payable to the Village of Maple Bluff Total: ______

It is expressly agreed that the Village of Maple Bluff shall not be liable for any loss, damage or injury to person or property by reason of occupancy and use of the Village storage facilities. The Village has the right to remove equipment remaining in the storage area beyond the rental period and to charge the owner for all associated costs.

Signature of Owner: ______Date: ______

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Office Use Only: Storage Space: ______Boat Sticker: ______Hoist Sticker: ______Trailer Sticker: ______Fees Paid: ______