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. Li. //bbil!liqi.1 <br /> 4.tz. Agricultural or Forestry Building Exemption Certification <br /> Equine Facility Exemption Certification <br /> Marion County Public Works—Building Inspection Division <br /> Marion 5155 Silverton.Rd.NE, Salem Oregon 97305 <br /> County Phone: (503)588-5147 Fax: (503)588-7948 Email:building@u,co.marion.or.us <br /> OREGON <br /> Owner/applicant name: -ke. Phone: 603$81 2112- Fax: <br /> Mailing address: 1ZC) let SF City/State: Tv r n e 0 Zip: 17 3 2-- <br /> Job site address: SAr✓ie City: Zip: <br /> Directions to the site: Saj Vh lnrr to i aAd cess \,5 a <br /> Proposed Building Information <br /> 1. Site plan is attached(required): d es o No <br /> 2. Type of Exemption: a Agricultural Building o Forestry Building o Equine Facility(provide information below): <br /> o Total number of stalls or equivalent number of horses: 0 <br /> o Total number of stalls or equivalent number of horses limited to personal use only: C <br /> o Total number of stalls or equivalent number of horses anticipated to be used for commercial or trade purposes <br /> inc.boarding,training,rental,haul-in,clinics,shows,etc. (consider future plans): 0 <br /> 3. Is the use of the structure or the items within it used for any business or commercial activities? oYes ri1 <br /> If yes,please explain: <br /> 4. Describe use of the building and items contained within: LOci .k She ( ✓ Equ.?men 4 x ri <br /> 5. Is the property in farm or forest deferral? gYes o No <br /> 6. Is the proposed structure located within a floodplain? oYes e <br /> 7. Will the proposed structure have any of the following systems?(If yes,separate permits are required for each system): <br /> Plumbing oYes Q No If plumbing will be installed,what type of fixture(s)? <br /> Electrical oYes ©' 0 <br /> Septic oYes e//1o <br /> Heating/Cooling/Ventilation/Mechanical oYes o <br /> 8. Will this structure be used by the public at any time? oYes Flo <br /> 9. What is the proposed maximum number of people(including employees,owners,etc.)that will be present in the <br /> building at any one time? <br /> 10. Where will restroom facilities be provided? 5e- <br /> 11. Is the proposed structure a manufactured home? oYes 24 <br /> 12. Building Data:Length: Lk?) Width: IA 53 Area: Height: 1`{ <br /> 13. Parcel Information:Parcel Size: L 15 Parcel No.: k P e. 203" )23 Zone: S R • <br /> Page 1 of 5 <br />