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MARION COUNTY <br /> SUmDIS~ r~S~ECT~O~ o~o~ <br /> Fo..E--, <br /> ~o~ .,.,~ sTRoc~L sPE~I~ CODE <br /> FOR AN AGRICULT'o'RA~_ BUZLDTNO ON A COJOfERqIAL <br /> <br /> p.p. - __ <br /> SEC~ZOm ~VmSHZP: RANOE.' <br /> <br />Is this property classified as farm deferred? ¥ t~ N <br />This can be obtained at the Marion County Assessor's office located in the Frankl£n <br />Hu£1ding, 495 State Street, Salem) <br /> <br />Are you located within the Urban Grey/ch Boundary? ¥ __ N <br /> <br />DesTrbbe in detail the use of and/or commodities store.d in the proposed structure.' <br /> <br />Is the proposed structure located within a flood plain? <br /> <br />Does the proposed structure have any of the following systems? <br />Electrical ¥__ N ~.----Plumbing Y N ~------Heating/Cooling/Ventilation <br />Where will restroom facilities be provided?~/~-z~ ~~ <br />Will persons be working in the structure more than a total of ~4 hours, duri~an~ <br />week of the year? Y N <br /> <br />9. IS this structure used by the public at any time? Y N <br /> Explain: <br /> <br />10. What is the distance ~fro~ the ~oposed struct~_e to property lines and/or other <br /> structures? Front ~.~/~ Rear /~r'~ <br /> Left Si~ Right Side~/~ Other structures~-~ <br />11. This application will not he considered complete without a site plan. See attached <br /> site plan requirements. <br /> <br /> I certify that I have read this application and state that the information given is <br /> correct. I agree to comply with all state laws and county ordinances relating to building <br /> constructi~9~n. <br /> <br /> S/ON~TUR~E <br /> DATE / <br /> PHONE <br /> <br /> OFFICE USE ONLY SITUS NO. ZONE: ~=6~--- MAP:_~_~____ <br /> PLANNING DIVISIONS <br /> Validated By: Approved: ~ Denied: Date: <br /> <br /> COMMENTS: <br /> / <br /> BUILDINO D'rVISION; '~ 4 <br /> Validated By: Approved: Denied: Date: <br /> <br />COMMENTS: ~ ~%-y~ ~ <br /> I; D 0 <br /> APPROVED: DENIED: STRUCTURAL PERMIT IS REQUIRED <br /> Other permits required: Electrical, Plumbing, Mechanical, Septic <br />MC 15-76 <br />REV 8/94 <br /> <br /> <br />