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23 -00-13Iti , -7E_ <br /> / ,y Agricultural or Forestry Building Exemption Certi i i _E U V <br /> Equine Facility Exemption Certification <br /> Marion County Public Works—Building Inspection v on L--J <br /> 17ar1vn 5155 SilC. verton Rd.NE, Salem Oregon 97305 AUG 2'9 202 <br /> `,In virrin it \11 <br /> ` Phone: (503)588-5147 Fax: (503)588-7948 Email: buildingaco.marion s <br /> BUILDING INSPECTION <br /> Site Plan is Required—see attached information <br /> Owner/applicant name: Pe?{- r 6odun OV Phone: 503•c15 I.Ap lif- Email: b(,1CI u nollp tieyvvi I. , <br /> Mailing address: a1a4(0 Abi j.CC(, RG(. ije City/State: 5c,0115 M11I5 012_ Zip: 9'1316 <br /> Job site address: 02 µ(o Aiii i c . Iu ME City/State:ScoJ13 Mills O� Zip: 91375 <br /> Parcel Information: Parcel Size: 1,11 4Crr5 Parcel No.: 071 eL3I)000Bto Zone: <br /> Proposed Building Information <br /> Describe specific use of the building and items contained within 5.1-0 ru -e, , m omien a ce or lax( r <br /> n4 -retrrn ma chi)qe,n4 and ew7)ar7ent,, Gn1 6 pI(PS UW on-('le <br /> Building Data: Length: (00 v Width: 110 Area: °WOO Height: 1.8 <br /> Type of Exemption: p 'Agricultural Building ❑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? 5 <br /> Will this structure be used by the public at any time? oYes x No <br /> Is the proposed structure located within a floodplain? oYes gjNo <br /> Is the building located on/used in the operation of a farm? oYes ❑No <br /> Is the proposed structure a residential dwelling or manufactured home? oYes ll No <br /> Is the use of the structure or the items within it used for any business or commercial activities? oYes ❑No <br /> If yes,please explain: <br /> AgriculturaUEquine Exemption Criteria—Select all that apply: <br /> &Storage,maintenance,or repair of machinery,equipment,and supplies used on this farm <br /> ❑Raising,harvesting,or selling crops raised on this farm <br /> ❑ 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 )(No(Complete Electrical Wiring Criteria) <br /> Will there be a concrete slab either within or adjacent to the building? oYes 6Q No <br /> Will there be farm animals(poultry excluded)within the building at any time? oYes $1 No <br /> Will there be farm animals(poultry excluded)on the slab at any time? oYes eg No <br /> Will the building be used for storage of feed,hay,or straw? AYes o No <br /> Will the building be used for major repair of motor vehicle equipment? oYes (No <br /> Heating/cooling/ventilation/mechanical oYes ii No <br /> Septic oYes RI No (Any yes answer will require a separate permit) <br /> Plumbing(Please specify fixture type) oYes t No <br /> Page 1 of 5 <br />