Boating Infrastructure Program Comments
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Name:
Address:
City:
State:
Zip:
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Daytime Phone:
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E-mail Address:
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If Yes, Enter Member Number:
Closest City, State of Proposed Site:
Specific Waterway:
Proposed Type of Facility:
Distance From Similiar Facilities:
Rationale For New Facility:
Additional Comments:
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are required.
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