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Agricultural or Forestry Building Exemption Certification <br /> Equine Facility Exemption Certification 2 C E -�/] <br /> Marion County Public Works—Building Inspection Divisi �C, `"l <br /> County <br /> 5155 Silverton Rd.NE, Salem Oregon 97305 <br /> Phone: (503)588-5147 Fax: (503) 588-7948 Email:buildingaco.m 'o .or.i4u`J Q. 2022 <br /> 9 .REG. Q' N <br /> MARION COUNTY <br /> Site Plan is Required—see attached information BUILDING INSPECTION <br /> Owner/applicant name: s-4.1-i n R►tat, ri7 Phone: g -"1�y 1 y Co Email: J'c,i-b-in.dr Goncw,,f <br /> Mailing address: (oSSG &a,tf i-e_ Crcuc City/State: L w 02 Zip: ¶."13r") ^}-cam <br /> Job site address: City/State: S°+`t Zip: <br /> Parcel Information: Parcel Size: 4-t A L. Parcel No.: Zone: .SA <br /> Proposed Building Information <br /> Describe specific use of the building and items contained within S-rtarci <br /> Building Data:Length: (to Width: k D Area: 34,Do Height: 10 <br /> Type of Exemption: A Agricultural Building o Forestry Building o Equine Facility(Provide information below): <br /> What is the proposed maximum number of people(including employees,owners,etc.)that will be present in the building at <br /> any one time?.. Z <br /> Will this structure be used by the public at any time? oYes >6 No <br /> Is the proposed structure located within a floodplain? oYes KfNo <br /> Is the building located on/used in the operation of a farm?XYes ❑No <br /> Is the proposed structure a residential dwelling or manufactured home? oYes AfNo <br /> Is the use of the structure or the items within it used for any business or commercial activities? oYes A No <br /> If yes,please explain: <br /> Agricultural/Equine Exemption Criteria—Select all that apply: <br /> Storage,maintenance,or repair of machinery,equipment,and supplies used on this farm <br /> o Raising,harvesting,or selling crops raised on this farm <br /> o Feeding,breeding,management,or sale of livestock,poultry,furbearing animals,or honeybees <br /> o Dairying or the sale of dairy products produced on this farm <br /> o Other agricultural,horticultural,or animal husbandry used <br /> o Stabling,training,riding lessons,or clinics(Complete Equine Exemption Criteria) <br /> #of stalls/horses <br /> #of stalls/horses for personal use only <br /> #of stalls/horses used for commercial or trade purposes including boarding,training,rentals,clinics, shows,etc. <br /> Which of the following systems will the proposed structure have? <br /> Electrical oYes A No(Complete Electrical Wiring Criteria) <br /> Will there be a concrete slab either within or adjacent to the building? oYes %No <br /> Will there be farm animals(poultry excluded)within the building at any time? oYes XS No <br /> Will there be farm animals(poultry excluded) on the slab at any time? oYes 4No <br /> Will the building be used for storage of feed,hay,or straw? oYes No <br /> Will the building be used for major repair of motor vehicle equipment? oYes r(No <br /> Heating/cooling/ventilation/mechanical oYes 10 No • <br /> Septic oYes ' No (Any yes answer will require a separate permit) <br /> Plumbing(Please specify fixture type) oYes p(No <br /> Page 1 of 5 <br />