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rEgricultural or Forestry Building Exemption Certification D C E <br /> Equine Facility Exemption Certification <br /> \.non 5155 CountySilverton Public WorksRd. —Salem Building Inspection97305 Division AUGGG 0 4 2g <br /> ! }Y 0 NE, Oregon _3 <br /> J <br /> t,.ne: (503)588-5147 Fax: (503)588-7948 Email:building@co.marion.or.us <br /> 0 .g E C MAriIW COUNTY <br /> ROWING INSPFrTI(1N <br /> Site Plan is Required—see attached information <br /> Owner/applicant name: Cindy and Devon Test Phone: 503-881-4525 Email: bugr96@aol.com <br /> Mailing address: 2675 Cloverdale Dr SE City/State: Turner, OR Zip: 97392 <br /> Job site address: Same City/State: Zip: <br /> Parcel Information: Parcel Size: 5.46 acres Parcel No.: 641 • Zone: SA <br /> Proposed Building Information <br /> Describe specific use of the building and items contained within Storage of hay,grain, bedding, equipment for training, <br /> and stabling various animals, including horses and goats. <br /> Building Data:Length: 60ft Width: 24ft Area: 1440 sq ft Height: 12 ft at eaves <br /> Type of Exemption: I Agricultural Building o Forestry Building ❑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? 2-5 <br /> Will this structure be used by the public at any time? oYes I!No <br /> Is the proposed structure located within a floodplain? oYes I No <br /> Is the building located on/used in the operation of a farm? UYes ❑No <br /> Is the proposed structure a residential dwelling or manufactured home? oYes !No <br /> Is the use of the structure or the items within it used for any business or commercial activities? oYes I No <br /> If yes,please explain: <br /> Agricultural/Equine Exemption Criteria—Select all that apply: <br /> Ilh Storage,maintenance,or repair of machinery,equipment,and supplies used on this farm <br /> ❑Raising,harvesting,or selling crops raised on this farm <br /> I Feeding,breeding,management,or sale of livestock,poultry,furbearing animals,or honeybees <br /> ❑Dairying or the sale of dairy products produced on this farm <br /> I Other agricultural,horticultural,or animal husbandry used <br /> I Stabling,training,riding lessons,or clinics(Complete Equine Exemption Criteria) <br /> #of stalls/horses 3 <br /> #of stalls/horses for personal use only3 <br /> #of stalls/horses used for commercial or trade purposes including boarding,training,rentals,clinics, shows,etc. 0 <br /> Which of the following systems will the proposed structure have? <br /> Electrical oYes !No(Complete Electrical Wiring Criteria) <br /> Will there be a concrete slab either within or adjacent to the building? "[Yes ❑No <br /> Will there be farm animals(poultry excluded)within the building at any time? !Yes ❑No <br /> Will there be farm animals(poultry excluded)on the slab at any time? oYes I No <br /> Will the building be used for storage of feed,hay, or straw? UYes ❑No <br /> Will the building be used for major repair of motor vehicle equipment? oYes !No <br /> Heating/cooling/ventilation/mechanical oYes I No <br /> Septic oYes !No (Any yes answer will require a separate permit) <br /> Plumbing(Please specify fixture type) oYes !No <br /> Page 1 of 5 <br />