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33-ooa&5-7- 4GE <br /> Agricultural or Forestry Building Exemption Certification 1 j 'FF <br /> . _ Equine Facility Exemption Certification <br /> Marion County Public Works—Building Inspection Division 1- � E <br /> 23 ion <br /> county5155 Silverton Rd.NE, Salem Oregon 97305 NOV 20 <br /> Phone: (503) 588-5147 Fax: (503) 588-7948 Email: buildingaco.marion,or.talARION COLINTy <br /> OREGON E SPECTlON <br /> Site Plan is Required—see attached information 11 <br /> ap,DerdkcOocrebu)pro) \\ , <br /> Owner/applicant name: Locke Buildings/Kristina Wood Phone: 503-630-3183 inas.com <br /> Mailing address: PO Box 2: 19 City/State: Estacada,Oregon Zip: 97023 <br /> Job site address: 9909 Jackson Hill Rd City/State: Salem,Oregon Zip: 97306 <br /> Parcel Information: Parcel Size: 146.25 Parcel No.: Zone: <br /> Proposed Building Information <br /> Describe specific use of thu building and items contained within Building will be a horse arena,used for exercising horses.Nothing <br /> will be stored in building <br /> Building Data: Length: `5' Width: 84' Area: 8064 sqft Height: 18' 6" <br /> Type of Exemption: o Agrcultural Building ❑ Forestry Building rx Equine Facility(Provide information below): <br /> What is the proposed maxinum number of people(including employees,owners,etc.)that will be present in the building at <br /> any one time? 4 <br /> Will this structure be used ty the public at any time? :Yes No <br /> Is the proposed structure located within a floodplain? oYes at No <br /> Is the building located on/txed in the operation of a farm? oYes ai No <br /> Is the proposed structure a residential dwelling or manufactured home? oYes c2(No <br /> Is the use of the structure o the items within it used for any business or commercial activities? oYes g No <br /> If yes, please explair: <br /> Agricultural/Equine Exemption Criteria—Select all that apply: <br /> ❑ 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 ddry products produced on this farm <br /> atOther 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 13No(2omplete Electrical Wiring Criteria) <br /> Will there be a concaete slab either within or adjacent to the building? oYes allo <br /> Will there be farm animals(poultry excluded)within the building at any time? &Yes o No <br /> Will there be farm animals(poultry excluded)on the slab at any time? oYes cxNo <br /> Will the building be used for storage of feed,hay,or straw? oYes u No <br /> Will the building be used for major repair of motor vehicle equipment? oYes allo <br /> Heating/cooling/ventilatiorYmechanical oYes No <br /> Septic oYes a No (Any yes answer will require a separate permit) <br /> Plumbing(Please specify t'cture type) EYes m No <br /> Page 1 of 5 <br />