Cascade County Use Statement 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
Updated May 14, 2019 Page 1 of 4
App. No.: _____________
Applied Date:__________
The Use Statement Form is required for all Special Use Permit applications and is designed to provide pertinent information
about the proposed use. It is important that the use statement provides a complete understanding of your proposal. The
use statement that you submit must address all the following items that apply to your proposal. Your use statement must
be written in on this form or written in a legible manner on a separate sheet of paper and submitted with your Special Use
Permit application in print or by email. If your responses are written on a separate sheet of paper, indicate the number of
each response corresponding with the item numbers listed below. Where a definite answer cannot be provided for any of
the items below, provide an estimate and indicate any uncertainty. Begin by indicating all relevant uses of the proposal
below and proceed to address each item. The form will not be considered complete without a signed and dated submission
by the landowner and/or applicant.
Use type (check all that apply): ☐ Residential ☐ Commercial ☐ Industrial
If the proposed use is residential only then only questions 1-6 are required. For uses that are commercial and/or
industrial all questions must be addressed. If the item does not pertain to the proposed use, then indicate that the
item does not apply.
1. Na
ture of the use - what do you propose to do and how do you plan to do it? Describe in detail.
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2. Ac
cess to the site:
☐ Public Road ☐Private Road Surface: ☐ Paved ☐ Gravel ☐ Dirt
Indicate the planned access points in the site plan. If a new approach will be required, contact either Montana
Department of Transportation or County Road and Bridge Division.
3. Desc
ribe any planned advertising or signage. Include the size, appearance, and placement.
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4. Will existing buildings be used, or will new buildings be constructed (or both)? Indicate new and old
buildings or structures on the required site plan.
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