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I certify the information provided is correct I also certify that I have read and understand that this proposed exempt <br /> structure mist oornplywith the criteria listed in ORS 455.315 and reprinted below. I understand that any change of <br /> use including,but not limited to,the use of the building for a dwelling,pescmal storage,storage of vehicles other than <br /> farm vehicles(Le.boats,cars,RVs,etc.)and home occupations will require a building permit and nullify the <br /> agricultural,fonstry or equine exemption.I understand this exemption does not exclude me from obtaining <br /> applicable mechanical,plumbing and electrical permits.I understand that post-occupancy inspections may be made <br /> to ensure continuing compliance with these regulations. I also certify that I have read and understand that <br /> conversion of agricultural or forestry buildings or equine facilities to commercial and/or trade purposes in the future <br /> will require System Development Charges be paid upon the change in use. Charges will be assessed at a rate current <br /> at the time the change in use is requested or discovered. <br /> V1�U- / i ' <br /> Signature of Owner/A 1 e: •ed Agent Print Name Date <br /> Oregon Revised Statutes 455. 5 allows exemption from the requnernent for a building permit and inspections under the Oregon State <br /> Structural Specialty Code when the proposed building meets the agricultural building or equine facility requirements: <br /> "Agricultural building"means a structure located on a farm or forest operation;and used for storage,maintenance or repair of farm or <br /> forestry machinery and eguiprnent;the raising,harvesting and selling of crops or forest products;the feeding,breeding,management and <br /> sale of,or the produce of,livestock,poultry,fur-bearing animals or honeybees;dairying and the sale of dairy products;or any other <br /> agricultural,forestry or horticultural use or animal husbandry,or any combination thereof including the preparation and storage of the <br /> produce raised on the farm for human use and animal use,the preparation and storage of forest products and the disposal by marketing or <br /> otherwise,of faun prod we or forest products. <br /> An Agricultural building does not include: <br /> (A)A dwelling; <br /> (B)A structure used for a purpose other than growing plants in which 10 ormore persons are present at any one time; <br /> (C)A structure regulated by the State Fire Marshal pursuant to ORS chapter 476; <br /> (D)A structure used by the public;or <br /> (E)A structure subject to sections 4001 to 4127,title 42, United States Code(the National Flood Insurance Act of 1968) <br /> as amended,and regulations promulgated thereunder. <br /> "Equine facility"means a building located on a farm;and used by the farm owner or the public for stabling or banning equines;or riding <br /> lessons and training clinics. <br /> An Equine e facility does not include: <br /> (A)A dwelling; <br /> (B)A structure in whichmore than 10 persons are present at any one time; <br /> (C)A structure regulatedby the State Fire Marshal pursuant to ORS chapter 476;or <br /> (D)A structure subject to sections 4001 to 4127,title 42,United States Code(the National Flood Insurance Act of 1968) <br /> as amended,and regulations promulgated thereunder. <br /> In order to determine what constitutes a farm under ORS 455.315,Marion County developed the following policy: <br /> In order to quality for an agricultural building exemption the application must state that the structure will be used as part of the farm <br /> business or forestry operation,some portion of the property shall be receiving a farm or forest deferral,and the zone in which the property <br /> is located must permit farm or forest use or both. In order to qualify for an equine facility exemption some portion of the property shall <br /> be receiving a farm deferral and the zone in which the property is located must permit farm use. <br /> For Use my Building InspectionOipproved❑Denied: (Si nat re) Qt/' 7/3 (Date) <br /> Planning Division Approved❑Denied: (Si.gnatuare) (Date) <br /> Land Development [ pprloved❑Denied: � (Signature) ninth (Date) <br /> G SITE PLAN FOR AGRICULTURAL OR FORESTRY BUILDING <br /> OR EQUINE FACILITY EXEMPTION CERTIFICATION <br /> 1W) (2) COPIES REQUIRED <br /> F:WORMS\AGEMAo1 Agricultural Building Exemption or Equine Facility Exettgjtion.doc <br /> Page 2 of 5 <br />