Cascade County Citizen Complaint Form
Cascade County Planning Department
121 4
th
St N, Suite 2H-2I
Great Falls, MT 59401
Phone: 406-454-6905 | Fax: 406-454-6919
For Administrative Use Only
Complaint No.: ___________
Date Rcv’d: ______________
Complainant Information:
Name:_________________________________________
Date: ___________________________
Mailing Address: __________________________________________________________________________________
Phone: ________________________________________
Email: _________________________________________
Reply Requested: ☐ Yes ☐ No
Complaint Information:
First Date of Observance: _____________________
Last Date of Observance: _____________________
Observed Property Owner: _________________________________________________________________________
Observed Property Address: ________________________________________________________________________
Violation Type: ☐ Zoning ☐ Floodplain
☐ Your Property ☐ Public Road (please specify):________________________________________
☐ Other (please specify):___________________________________________________________________________
Description of alleged violation (please attach any supporting documents, photos, etc.):
________________________________________________________________________________________________
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________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
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Attestation: I hereby certify that the information given herein is true and correct to the best of my knowledge.
S
ignature of Complainant: ______________________________________________ Date: ________________________
THIS COMPLAINT FORM IS A PUBLIC RECORD
