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vIpropicr-C1 //9,-&0 12.6z— -6 <br /> cultural or Forestry Building Exemption Certification <br /> :: Equine Facility Exemption Certification <br /> Marion County Public Works—Building Inspection Division <br /> Mo n"r 5155 Silverton Rd.NE, Salem Oregon 97305 <br /> Phone: (503)588-5147 Fax: (503)588-7948 Email: buildingna,co.marion.or.us <br /> OREGON <br /> Owner/applicant name: Burkhart Ledeboer Phone: 503 9322640 Fax: <br /> Mailing address: 21938 Case Rd NE City/State: Aurora Zip: 97002 <br /> Job site address: 219$8 Case Rd NEA <br /> City: urora Zip: 97002 <br /> Directions to the site: Go north on Case Rd NE from Yergen/McKay - 1/2 mile on ease side <br /> Proposed Building Information <br /> 1. Site plan is attached(required): eYes o No <br /> 2. Type of Exemption: a Agricultural Building ❑Forestry Building o 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 e No <br /> If yes,please explain: <br /> 4. Describe use of the building and items contained within: Drying and storing of industrial hemp, <br /> storage of farm equipment <br /> 5. Is the property in farm or forest deferral? oYes in No <br /> 6. Is the proposed structure located within a floodplain? oYes e 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 ❑No If plumbing will be installed,what type of fixture(s)? <br /> Electrical • eYes ❑No ` / U/,,,e) 6 j ay, <br /> U� <br /> Septic oYes ❑No1C <br /> /'�ll5 <br /> Heating/Cooling/Ventilation/Mechanical oYes a No <br /> 8. Will this structure be used by the public at any time? oYes e No <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? 10 <br /> 10. Where will restroom facilities be provided? Portable latrines for duration of temporary work <br /> 11. Is the proposed structure a manufactured home? oYes e No <br /> 12. Building Data: Length: 100' Width: 50' Area: 5,000 sq ft Height: 24' <br /> 13. Parcel Information:Parcel Size: 14.55 Parcel No.: 042W12 00700 Zone: EFU <br /> Page 1 of 5 <br />