Land Use Permit Application | Marin Water

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Land Use Permit Application

Applicant Information

Contact Name and Title

Email

Phone Number

Company or Agency Name

Address

Address

City/Town

State/Province

ZIP/Postal Code

Activity or Event

Check all that apply

Filming

Still Photography

Bicycling

Fundraising

Youth Education or Camp

Hiking

Commercial Outdoor Recreation

Wedding

Other Activity

Please describe below.

Please describe the activity or event

Number of people

Charging Participants?

Yes

No

Fee Amount

Date of Activity of Event

Start Time

End Time

Location of activity or event

Describe the approximate location desired, referring to the nearest fire roads, trails or mile markers. Note: For film shoots, map and photos of filming location(s) must be provided.

Number of vehicles and type of equipment needed (check all that apply)

Vehicle

Recreational Vehicle

Trailer

Helicopter

Other

Number of vehicles

Number of trailers

Number of recreational vehicles

If you checked over, please describe:

Need a helicopter pad?

Yes

No

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