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I certify the information provided is correct.I also certify that I have read and understand that this proposed exempt structure must comply with the criteria listed in ORS 455315 and reprinted below. I understand that any change of use including,but not limited to,the use of the building for a dwelling,personal storage,storage of vehicles other than farm vehicles(i.e.boats,cars,RVs,etc.)and home occupations will require a building permit and nullify the agricultural,forestry or equine exemption.I understand this exemption does not exclude me from obtaining applicable mechanical,plumbing and electrical permits.I understand that post-occupancy inspections may be made to ensure continuing compliance with these regulations. I also certify that I have read and understand that conversion of agricultural or forestry buildings or equine facilities to commercial and/or trade purposes in the future will require System Development Charges be paid upon the change in use. Charges will be assessed at a rate current at the time the change' use is requested or discovered. (14 • icAl qz/L Signature of Owner/Authorized Agent Print lame Date Oreuon.Revised Statutes 455.315 allows exemption from the regUirement for a Wilding permit and inspections under the Oregon State Structural Specialty Code when the proposed building meets the agricultural building or equine facility requirements: • "Agricultural building"means a structure Located on a faun'or forest operation;and used for storage,maintenance or repair of farm Or forestry machinery and equipment the raising,harvesting and selling of crops or forest products;the feeding,breeding,management and sale of or the produce 04 livestock poultry,fiir-bearing animals or honeybees;dairying and the sale of dairyproducts;or any other agricultural,forestry or horticultural use Or animal husbandry,or any combination thereof including the preparation and storage of the produce raised on the farm for human use and annual use,the preparation and storage of forest products and the disposal by marketing or otherwise,of farm produce Or forest products_ An Agricultural building does not include: (A)A dwelling;. (B)A structure used for a purpose other than growing plants in which ltl ar more persons are present at any one time; (C)A struttaue regulated by the State Fite Marshal puasura .to ORS chapter 476; (D)A strvetpre used by the public;or (i?)A*active subject to sections 4001 to 4127,title 42,United States Code(the National Flood Insurance Act of 1968) as amended,and regulations promulgated thereunder. — "Equine facility".means a building load on a farm;and used by the farm owner or the public for stabling or training equines;or riding lessons and training clinics. An Equine facility does not include: (A)A dwelling; (B)A structure in which more than 10 persons are present at any.one time; (C)A structure regulated by tare State Fire Marshal Punta*to ORS chapter 476;or (D)A structure subject to sections 4001 to 4127,title 42,United States Code(the National Flood Insurance Act of 1968) as ainendecl,and regidations promulgated thereunder. In order to determine what con:sautes a farm under ORS 455.315,Marion County developed the follow policy: In order to quality for an.agricultural building exemption the application mast state that the structure will be used as part of the farm business or forestry operation,some portion of the property shall be receiving a farm or forest deferral,and the zone in which the property is located must permit farm or faxest use or both. Ia order to qualify for an equine facility exemption some portion ofthe property shall be receiving a farm deferral and the zone in which the property is located must permit farm Use. For Office Use Only Building Inspection t:+ ,,roved❑ 2/2c 23(Date) Planning Division fgApproved❑Denied P (Signature) '/iV (Date) Land Development I 11Approved❑Denied: ii /\- ? (Signature) g--1( ,-/ (Date) ✓ SITE PLAN FOR AGRICULTURAL OR FORESTRY BUILDING OR EQUINE FACILITY EXEMPTION CERTIFICATION Tt$O (2) COPIES REQUIRED .r'.0 n w %e n e9•/n71n• , A