Cascade County Determination Request 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
Email: planningcomments@cascadecountymt.gov
September 21, 2020
Request No.: _____________
Assoc. Permit: ____________
Request Date: ____________
This form is for requesting a determination. Please provide all relevant information about the subject property, the property
owner, and the applicant as it pertains to the request. Please indicate the specific regulations/ordinances (if any) of your
inquiry and provide a thorough description of the request in the space provided.
Subdivision (if applicable)
Unit: ☐ Acres ☐ Square Feet
Applicant
(Contractor, Engineer,
etc. who is filling out
this request form)
Specific Regulations/Ordinance (if any):
☐Building for Lease or Rent
☐Ordinance/Other: ________________________________________________________________________________
Request:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Attestation Statement and Signature:
I hereby certify that the information given herein is true and correct.
Signature of Applicant: ___________________________________________________ Date: ______________________
Signature of Property Owner: ______________________________________________ Date: ______________________