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nC <br /> Agricultural or Forestry Building Exemption <br /> 23 Certi-ficatidon,5.8 il — 1} <br /> Equine Facility Exemption Certification <br /> Marion County Public Works-Building Inspection Di fitE <br /> Marion 5155 Silverton Rd.NE, Salem Oregon 97305 I l <br /> County 1 2023 <br /> Phone: (503)588-5147 Fax: (503)588-7948 Email:building(a�co.marionlizi <br /> � <br /> OREGON <br /> iVARIONpCCc�/OUNTY <br /> A D D DQ site Plan is Required-see attached information B U I aOI�eIr' 0 JcW N r <br /> Owner/app cant name: afore Jeraer Phone: 503-SD/-51/5"' Email: 1741.4-4 try ."5 <br /> Mailing address: 7877 Barbara Ln SE City/State: Aumsville. OR Zip: 97325 <br /> Job site address: 13737 Triumph Rd SE City/State: Sublimity, OR Zip: 97385 <br /> Parcel Information:Parcel Size: 39.50 Parcel No.: Oc81 WZ(9000,0700 Zone: EFU , <br /> Proposed Building Information = <br /> Describe specific use of the building and items contained within Ra 'tetek__ <br /> Building Data:Length: 135 Width: 300 Area: 40500ft2 Height: J4 <br /> Type of Exemption: o Agricultural Building o Forestry Building rtEquine Facility(Provide information below): <br /> What is the proposed ' um number of people(including employees, owners,etc.)that will be present in the building at <br /> any one time? <br /> Will this structure be used by the public at any time? oYes 1!No <br /> Is the proposed structure located within a floodplain? oYes U No <br /> Is the building located on/used in the operation of a farm? XYes o No <br /> Is the proposed structure a residential dwelling or manufactured home? oYes 0 No <br /> Is the use of the structure or the items within it used for any business or commercial activities? oYes 0 No <br /> If yes,please explain: <br /> Agricultural/Equine Exemption Criteria-Select all that apply: <br /> o 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 /> $Stabling,training,riding lessons,or clinics (Complete Equine Exemption Criteria) <br /> #of stalls/horses r). <br /> #of stalls/horses for personal use only n <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 iYes o No(Complete Electrical Wiring Criteria) <br /> Will there be a concrete slab either within or adjacent to the building? oYes 4 No <br /> Will there be farm animals(poultry excluded)within the building at any time? EYes ❑No <br /> Will there be farm animals(poultry excluded)on the slab at any time? oYes jNo <br /> Will the building be used for storage of feed,hay,or straw? oYes .r 'No <br /> Will the building be used for major repair of motor vehicle equipment? oYes •No , " <br /> Heating/cooling/ventilation/mechanical oYes tNo <br /> Septic oYes INo (Any yes answer will require a separate permit) <br /> Plumbing(Please specify fixture type) oYes tiNo <br /> Page 1 of 5 <br />