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Agricultural or Forestry Building Exemption Certification <br /> Equine Facility Exemption Certification JAN 18 2019 <br /> Marion County Public Works—Building Inspection Division <br /> Marion 5155 Silverton Rd.NE,Salem Oregon 97305 hfl,iN+IC Ni COUNTY <br /> County <br /> Phone:(503)588-5147 Fax:(503)588-7948 Email:building@co.marioraIr1kh!JING INSPECTION <br /> OREGON �� <br /> Owner/applicant name: /fj/l//PAT /4,472 ,e Phone: 6'0 5-3.9.0-(060/ax: At tV cc <br /> Mailing address: 7/98 4J 8 City/State: !1j f oor,� 69,4' Zip: <br /> Job site address: T/96 Ill ST; City: e(trol Zip: 913j/- <br /> Directions to the site: <br /> Proposed Building Information <br /> 1. Site plan is attached(required): X'es ❑No <br /> 2. Type of Exemption: XAgricultural Building o Forestry Building ❑Equine Facility(provide information below): <br /> o Total number of stalls or equivalent number of horses: <br /> o Total number of stalls or equivalent number of horses limited to personal use only: <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): <br /> 3. Is the use of the structure or the items within it used for any business or commercial activities? oYes ,(No <br /> If yes,please explain: /0 <br /> 4. Describe use of the building and items contained within: 20'X'O/f Cj! 11~,,1t / <br /> " Iii 'I ✓ //4 �/ �,I'/ t <br /> 5. Is the property in farm or forest deferral? r 'es ❑No <br /> 6. Is the proposed structure located within a floodplain? oYes)(No <br /> 7. Will the proposed structure have any of the following systems?(If yes, separate permits are required for each system): <br /> Plumbing oYes XNo If plumbing will be installed,what type of fixture(s)? <br /> Electrical oYes "No A/I <br /> Septic oYes t No <br /> Heating/Cooling/Ventilation/Mechanical oYes yNo <br /> 8. Will this structure be used by the public at any time? oYes XNo <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? 604,, _ <br /> 10. Where will restroom facilities be provided? l 4A/E.' <br /> 11. Is the proposed structure a manufactured home? oYes 'No <br /> 12. Building Data:Length: Width: Ap Area: CRID Height: <br /> 13. Parcel Information:Parcel Size: Parcel No.: Zone: <br /> Page 1 of 5 <br />