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Revised 11-08-2023 Page 1 File Date: Intake Staff: Date Complete: City of Whitefish Planning & Building Dept 418 E 2nd St │PO Box 158 Whitefish, MT 59937 Phone: [PHONE REDACTED] REQUEST FOR INVESTIGATION POTENTIAL LAKESHORE PROTECTION VIOLATION Area of Concern: Assessor number, legal description, address if known: Name of property owner, if known: Your Name*: Contact Telephone Number: Date the Concern was First Observed: Would You Like a Return Call? Yes: No: Type of Concern: (Please check all that apply) New or Expanded Dock___ Unpermitted Buoy___ Vegetation/Tree Removal___ Construction without a Permit Constructed Area Violation___ Other (Please Describe Below)____ Brief Description/Explanation of Concern (Include any other information you believe may assist staff in reviewing the complaint and expediting its review. This could include photos of the violation.): * staff will not process anonymous complaints ---PAGE BREAK--- Revised 11-08-2023 Page 2 OFFICE USE Notes: For City Staff Use Only How was Complaint Reported? In Person: Phone: Letter: Message: Date of Site Visit: Date of Follow-Up: Recommendation(s): Status: Date: