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<br /> . . ..Aaricultural or ForestrvBuddine Exemption Certification
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<br /> i - :',': . ' . - • • ''' ' • • - - , Equine Facility Exemption Certification . -. ',., L'. ':..,..:MAY 2'6. 2023
<br /> . :1,-., ' : . , • ••• -• Marion County PUblic'Works-Building Inspection DiviSion - • - , • ,,.' : .. ,...
<br /> 1 ...,, Marion :, • ' •5155 SilyerMn.Bd,NE,Salem Oregon.:971951 :.:: : - Y 'MAR 10\I...COUNTY
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<br /> Phone (503)588-5147 Fax (6.03);.588-7948:Email:buildinnaitcosna ct141DI NG INSPECTION
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<br /> • OREGON - • • •
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<br /> • '. Site Plan is Required.-see attached information:. .- . .. • .: ,
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<br /> .Owner/applicant dame: Bernard DeLay : • libmie:.50-784-7996 . ' ' F.,.liaik:berriteidel#1@onalbum
<br /> Mailing address: 10378 Charnpoeg RD NE city/state: kurpra.,.PR.,.,‘ .. ,, . . zip:. 79
<br /> • job siteAddress:.10378 ctiarnpneg 18t1 NE ,• . 1...:.,. CitiSytate.:!•Aur°ra,OR Zip:.:97002
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<br /> Pared Information:Parcel Site; SAc: ". *Pareei.NO.: 40247-000 Zone:
<br /> • Proposed Buildint Information ,0
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<br /> Describe sspeeioo.nse-of the building and items contained within Storage&shelturforliyostoCk. . . . • . : -
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<br /> Building Data:Length: 48• 'Width:1'4.8 : .. : Area: '' . • _ -:' Height 21 ft : • - -
<br /> ,-• Type of Exemption: A Agricultural Building 'a Forestry Building o.Equine Facility(Provide information below);''-,- • '.
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<br /> What's the proposed maximuniniunber of people(inCludingetoployeei;'uyinets.,etc)that will be present in the building at
<br /> any onetime?'6
<br /> • Will this structure be used by.the public at any time? nYes u No
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<br /> i . Is the!proposed structure located within 1'11°0(1j:dein?;t3' 0.4::11146,' ::.:,.....". •:..1.„.:: • • .. •,. .: . ;:.. • :,.„ ,::: ., , :
<br /> '., Is the building:located on/used in the operation of a feria?, 0Yes o No
<br /> Is the proposed structure a residential dwelling or manufaCtuted hectic?-DiYes' lii No:: ''''''' ".'-:'.' -: '. .. *'.: -* - -.•'
<br /> is the use of the.strticture-or the items within it used.for any business or commercial activitieS?,..6Y'es $No• .:.:. ..,.„ .,,:._ '--
<br /> i . If yes,please explain:
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<br /> AEriculturaVEntiine Exemption Criteria-Select all alit apply;
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<br /> Storage,maintenance.,or repair of machinery,equipment,'and supplies used on this farm.:,•••• ::- '•,.. - ' --...,...-,--,•', , .:
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<br /> o Raising„batvesting,or sellingeropSraiSed on this farm ' i - : ' ''' '' '' ' '''' ':.- '— ' '' • •••-i''''' '', -
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<br /> 0 Feeding,breeding,-management,or sale of livestock,potiltryi-futbearing animals;or honeybees
<br /> o Dairying or the sale of dairy products produced on_this-farm- ,i - .-- - :'..-.,,. , • : : - - .. , ::::
<br /> o Other agricultural,horticultural,or animal husbandry used• '''' • •"..' :' '''':.' '' '' '''' '. ' • -''' '''
<br /> .0 Stabling,training,riding lessons,-or clinics(Complete Equine EXemptiort Criteria): ,. .: ..,: .:, .. , - .;:, ..-.... ,.:"
<br /> #of stalls/horses:fen.personal use:only ''' '''' ' '''';T•'• ' '" '•
<br /> : #of stalls/horses used for commercial or trade.purposes ineluding•boarding,:training'i tentars,clinic ,tbow.'s,..-- -k.
<br /> Which ofthe followiniz:systems will the proposed structure have, -
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<br /> Electrical 1fY.es o No(Complete Electrical Wiring Criteria)
<br /> Will there bea concrete slab either within.or adjacent to the building? oYes. II No ''.: ,, -:" .i - ' '
<br /> Will there be&I'll,anhnals;(poultry excluded)Within thebUilding at any time? 111"es 0 No
<br /> Will there be farm animals(poultry excluded)on the slab at anytiinel••,,o.YeS:..:I No •
<br /> Will the building be used for storage of feed,hay,or area..Piye$. .0 No
<br /> Will the building be used for major repair of motor vehicle equipment? ayes i No
<br /> Heatingicoolingiventilation/inechanical DYes .1 No
<br /> Septic EYes No (Any yes answer will require a separate permit):
<br /> Plumbing(Please specify fixture type) DY.es .1.NO. •
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