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MARION COUNTY <br /> taUILDING INSPECTION <br /> <br /> APPLICATION FOR ~.XEMPT STATUS <br /> FROM THE STRUCTURAL SPECIALTY CODE <br /> FOR A~ AGRICULTURAL BUILDING ON A CO~RClAL FARM <br /> <br />1. IS thi~ property classified a~ farm ~eferred? ~ N __ <br /> (You must provide a computer prin=6ut v~rifying special assessment for farm us~. <br /> Thi~ can be obtained at the Marion C6unty Assessor's office located in the Franklin <br /> suilding, 495 State Street, Salem) [~ / <br /> 2. AfC you located within the Urban Gte%th Boundary? Y __ N __ <br /> 3. D~scri~e i~ detail~our celestial farm enterprise ~ ~ l~=~ <br /> <br /> 4. DO,tribe in detail the use of and/o~ ¢o~oditie~ 8~ored in the proposed structure~ <br /> _ <br /> <br />Is the proposed structure located within a flood plain? Y ~ N ~/~ <br />Does bhe proposed structure have any Iof the following systems? <br />Electrical y.~N Plumbing Y I N Heating/Cooling/Ventilation Y__ H <br /> <br />Where will restrOom facilities be <br /> <br />Will persons be working in the structure more than a total of 144 hours, during any <br />week o~ the year? Y ~ N <br />Is this structure used by the publicl~t any time? Y__ N <br /> <br />What is the dis ncc from the proposed str~cture ~o property lines and/or other <br /> <br />10. <br /> <br />11. <br /> <br />This application will not be conside~ed complete without a site plan. See attached <br /> <br />site plan requirements. <br /> <br />CO~LMENTS: <br /> <br />~' Certify that I have road this a~plica* <br />correct. I agree to comply with all state <br />construction. <br /> <br /> v .__c IX/ 1993' <br /> <br /> CITY <br />....... ........ '" <br />OFfiCE US~ O~Y SI~S NO, ~0~; - <br />P~IN~ DIVISION; ~ <br /> Validated By: Approved; Denied ~ <br /> <br />ion end state that the information given is <br />.aws and county ordinances relating to building <br /> <br />NAME (Please print] <br /> <br />STATE ZIP <br /> <br /> BUILDIN~ D~V~SION, ~ ~.~ <br /> va~±da~d By: ~proved~ ~ De~ied: - <br /> <br /> 'l1 <br /> <br />REV 9/93 <br /> <br />STRUCTURAL PE~U~IT I$ REQUIRED <br /> <br /> <br />