Fillable Cascade County Location/Conformance Permit Application (Cascade County)

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Cascade County Location/Conformance Permit Application (Cascade County)

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  • 71 check-boxes
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U.S.A. forms for Cascade County

BROWSE CASCADE COUNTY (MT) FORMS

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Cascade County Location/Conformance Permit Application
Cascade County Planning Department
121 4
th
St N, Suite 2H/I
Great Falls, MT 59401
Phone: 406-454-6905 | Fax: 406-454-6919
Pa
ge 1 of 3
Permit No: _______________
App. No.: ________________
Applied Date: _____________
Updated 11/16/2020
General Information
A Location/Conformance (L/C) Permit is required: (1) for all changes of land use and commercial activities within Cascade County
jurisdiction and (2) prior to the construction of all buildings and structures two-hundred (200) square feet or larger on all lands within
Cascade County jurisdiction. L/C Permits are not required for “site preparation,” as defined in the Cascade County Zoning Regulations
(CCZR). L/C Permits are to be issued for one use and are required for each tract of land. Legally issued L/C Permits shall expire one
year after the date of approval if construction or the use permitted has not started. A one-time-only twelve (12) month extension may
be granted by the Zoning Administrator upon request. L/C Permit applications require a non-refundable application fee of fifty dollars
($50.00) unless non-site preparation work started prior to the issuance of an L/C Permit; post-work projects require a non-refundable
application fee of two hundred dollars ($200.00).
Project Information
Project Address
☐ Needs an Address
(This is an additional $25 fee)
Estimated Project Value ($)
Property
Description
Legal
Description
Section
To
wnship
Ran
ge
COS
No.
Subdivision
Part, Tract, Block, Lot Descriptors…
Parcel No. Geocode
Total parcel area
Unit: ☐ Acres ☐ Square Feet
Property Owner
Name
Address
Phone Number
Applicant
(Contractor,
Engineer, etc.
that is filling out
this form)
Name
Address
Phone Number
Email
Preferred Method of
Contact
Application
Type
☐
Change of use
☐
New build
☐
Alteration
Previous use:
Use Type
☐ Multi-family Residential
☐ Public/NGO
☐ Mobile Home
☐ Sign
☐ Industrial
☐ Registered Premise
☐ Home Occupation
☐ Other: __________________________
Structures
Number of existing structures Total existing structure area (sq. ft.)
Number of proposed structures Total proposed structure area (sq. ft.)
Total area of alteration (sq. ft.)
Water/Waste
Type of sewage disposal Source of water supply
Page 2 of 3
Updated 11/16/2020
Project Description:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Submission Checklist
Location/Conformance Permit Applications shall be submitted to the Cascade County Planning Department for review.
The following checklist must be completed and signed by the Applicant before this Application can be reviewed. All
supporting permits and forms must be attached.
☐ A site plan containing the following information:
☐ A scale not less than one-inch equals one-hundred feet (1” = 100’).
☐ Name and address of the Applicant.
☐ Legal description and boundary lines of property being considered for review.
☐ Existing and proposed land use upon the site.
☐ Names of owners and existing land use on adjacent property.
☐ Location, size, dimensions and uses of existing and proposed buildings and improvements.
☐ Location and description of existing and proposed utilities.
☐ Location and dimensions of curb cuts and access points.
☐ Location, size, dimensions, and number of off-street parking spaces, including on-site vehicular driveways and
type of surface improvements.
☐ Location and type of existing and proposed landscaping or buffering.
☐ Location, type, and height of existing and proposed fencing and screening.
☐ Location, type, and height of sight-obscuring improvement surrounding areas of storage for raw materials,
finished products, machinery, and equipment.
☐ Floodplain Permit (attached). This is required if the project is in a regulated floodplain.
☐ Approach Permit (attached). This is required if the proposed approach is from a county or state road.
☐ Subsurface Wastewater Treatment System Permit (attached). This is required for projects installing a septic system,
re-utilizing a pre-existing septic system, or increasing the capacity of a pre-existing septic system on the subjec
t
property.
☐ General Permit for Small Municipal Separate Storm Sewer Systems (MS4) Permits (attached). This is required for
p
rojects that will disturb an acre or more of land.
Attestation Statement and Signature
I hereby certify that the information given herein is true and correct to the best of my knowledge. There are no restrictions
placed upon my property which would prohibit the issuance of this permit. If there are any restrictions, then this permit
shall become null and void. I hereby grant permission to any Cascade County Zoning Official to enter my property to
inspect for compliance with the County Zoning Regulations in relation to this application.
Signature of Applicant: ___________________________________________________ Date: ______________________
Signature of Property Owner: ______________________________________________ Date: ______________________
Page 3 of 3
Updated 11/16/2020
OFFICE USE ONLY
Fee(s):
☐ Pre-work ($50.00)
☐
Post-work ($200.00)
☐
Addressing ($25.00)
Payment Type:
☐ Check No.: ____________
☐
Cash
Date Application Received: ___________________________
Application Number: _______________________
Reasonable Accommodations Requested & Provided:
☐
Yes
Date Application Approved: ___________________________
Approved by (staff): ________________________
Approved Permit Number: ____________________________
Associated SUP Number: ____________________
REVIEW ITEMS
Zoning District: ___________________________________
Restrictions/Covenants:
☐ Yes ☐ No
☐
N/A
Type: _________________________________________
Physical/Legal Access:
☐
Yes
☐
No
Setback Requirements (ft): Front: ______________ Rear: _______________ Side: ______________
Parking Requirements:
☐ Yes ☐ No ☐ N/A
Existing: ____________ Required: ____________ Proposed: ____________
Landscaping Requirements:
☐ Yes ☐ No ☐ N/A
Frontage Option: _________________ Buffer Option: _____________________
Administrative Relief Requested:
☐ Yes ☐ No
Administrative Relief Granted:
☐ Yes ☐ No
Height Requirements:
☐ Yes ☐ No ☐ N/A
☐ Airport Zone: ____________________ ☐ Military Overlay District: ___________
Floodplain:
☐ Yes ☐ No ☐ N/A
Permit Attached: ___________________
☐ Yes ☐ No
Variance Request:
☐ Yes ☐ No ☐ N/A
Variance Approval Attached: __________
☐ Yes ☐ No
Approach Permit:
☐ Yes ☐ No ☐ N/A
Approach Permit Attached: ___________
☐ Yes ☐ No
City-County Health
Department Approval:
☐ Yes ☐ No
Permit Attached: ____________________
☐ Yes ☐ No
MS4:
☐ Yes ☐ No ☐ N/A
Addressing Approval:
☐ Yes ☐ No ☐ N/A
Addressing Approval Attached: ________
☐ Yes ☐ No
DATA COLLECTION
Permit Category:
☐
Residential
☐
Public/NGO
☐
Commercial
☐
Industrial
Permit Type:
☐
Dwelling Unit(s)
☐ Administrative, Waste Management and
Remediation Services
☐ Agriculture, Forestry,
Hunting or Fishing
☐
Utilities
☐
Manufacturing
☐
Transportation and Warehousing
☐ Arts, Entertainment,
Recreation
☐
Construction
☐
Mining, Quarrying, O & G
☐
Information
☐
Finance and Insurance
☐
Accommodation and Food
Services
☐
Retail Trade
☐
Real Estate and Rental/Leasing
☐
Public Admin.
☐
Prof., Scientific, Tech. Services
☐
Educational Services
☐ Other Services ☐ Health Care and Social Assistance ☐ Wholesale Trade
☐ Other Structures ☐ Signs
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Cascade County LocationConformance Permit Application (Cascade County)

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Completed 25 January 2021

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