Working Waterfront Land Application Schedule
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1
2WORKING WATERFRONT LAND APPLICATION SCHEDULE
(Title 36 MRSA Sections 1141-1152)
This schedule, accompanied by a map describing the parcel, must be filed with your local assessor on or before
April 1 of the year in which classification is requested.
1.
Name of Owner(s):________________________________________________________________________
2.
Mailing Address:__________________________________________________________________________
Number and Street
PO Box
________________________________________________________
_____________________________
City
State
Zip
Phone Number
3.
Location of Working Waterfront Land Parcel:____________________________________________________
Municipality or Township
County
4.
Identification of Working Waterfront Land Parcel:
____________________________________________________________________________________________
Map and Lot
Deed Reference/Book and Page
5.
Indicate applicable land uses and any use restrictions: ___________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
6.
List the factors, as appropriate, to demonstrate this parcel meets the Working Waterfront test:
____________________________________________________________________________________________
____________________________________________________________________________________________
7. WORKING WATERFRONT LAND PARCEL – ACREAGE
# of ACRES
A. LAND NOT CLASSIFIED AS WORKING WATERFRONT
1. IMPROVED SITE/BUILDING LOT(s)
YES
NO
(_________)
Areas occupied by structures and other substantial improvements, which are inconsistent with the
preservation of land as Working Waterfront are not eligible for classification as Working Waterfront
2. OTHER LAND
(_________)
Exclude from classification the land used for roads, powerlines and undeveloped land you do not wish to
enroll as working waterfront
3. LAND ENROLLED
(__________)
In Tree Growth, Farmland or Open Space Programs
B. LAND TO BE CLASSIFIED AS WORKING WATERFRONT
(__________)
C. TOTAL AREA OF PARCEL
(______ ____)
7.
Land Use Restriction Categories that apply to the Working Waterfront acreage:
Use to which Working Waterfront Land is put
Check all that
Acreage by
Apply
Category
Over 90% use for commercial fishing activities
_____________
Over 50% use commercial fishing activities
_____________
Provides goods of services that directly support commercial
_____________
fishing activities
Provides access to persons engaged in commercial fishing
_____________
activities
Is the working waterfront permanently protected through deeded restrictions?
YES
NO
I hereby certify that the answers to the foregoing questions are correct to the best of my belief and that the land
herein described as Working Waterfront land fulfills the definition of working waterfront land set forth by statute.
I am aware of the penalty provision for withdrawal or change in use.
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