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, /1/ —60[0.7 - v= <br /> or ForestryBuildin Exemption Certific - <br /> �, a � . g A. <br /> Equine Facility Exemption Certification I Ery <br /> Marion County Public Works—Building Inspection Divi it <br /> Cony 5155 Silverton Rd.NE, Salem Oregon 97305 FEB 12 2019 <br /> Phone: (503)588-5147 Fax: (503)588-7948 Email: building@co.marion.or.us <br /> OREGON Qina Lp , ciajIvii- iiON COUNTY <br /> Owner/applicant name: t1UJ Ab r:a I b,t %1` ,11t�'Gr' Phone: J 6. (11.ft)`I"?S FL�IN INSPECTION <br /> Mailing address: 1 Cj Ia U-H-U Cd se City/State: /� ''01sj�"j !LQ Zip: T13Z 6 <br /> Job site address: 1C}� L City: Au n1 Sk1 I L Zip: 0,-7326 <br /> Directions to the site: <br /> Proposed Building Information <br /> 1. Site plan is attached(required): Yes ❑No <br /> 2. Type of Exemption: tkAgricultural Building ❑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 rNo <br /> If yes,please explain: <br /> 4. Describe use of the building and items contained within: MIX Q(; CJ's(k lit Up c•(I`R9 <br /> 5. Is the property in farm or forest deferral? rrYes o No <br /> 6. Is the proposed structure located within a floodplain? oYes grNo <br /> 7. Will the proposed structure have any of the following systems?(If yes,separate permits are required for each system): <br /> Plumbing oYes kNo If plumbing will be installed,what type of fixture(s)? <br /> Electrical kYes ❑No ,� <br /> / <br /> Septic oYes YNo l' <br /> Heating/Cooling/Ventilation/Mechanical oYes �No <br /> 8. Will this structure be used by the public at any time? oYes 9(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? i'lf <br /> 10. Where will restroom facilities be provided? P()(11- <br /> 11. Is the proposed structure a manufactured home? oYes kNo C_ ��`` <br /> 12. Building Data:Length: IbD Width: ,hv / Area: 5 Oct a:t-0- Height: OU <br /> 13. Parcel Information:Parcel Size: ��. b Parcel No.: I231 5•:,...1000 <br /> 13� Zone: e` <br /> Flap - cQ Iwob t c o) <br /> Page 1 of 5 <br />