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• r :NEcsi <br /> �� FR <br /> .i Lural orFores Buildin Exem'tionCertification2019 C�EquineFacilityExemptionCeiicationfl�{AROUMarion County Public Works—Building Inspection DivisionBUILDING INPECT] <br /> 17arion 5155 Silverton Rd.NE,Salem Oregon 97305 ON <br /> County <br /> Phone:(503)588-5147 Fax: (503)588-7948 Email: building@,co.marion.or.us <br /> OREGON. X0 ,71 , <br /> Owner/applicant name: JP 17/" Phone: 503-.35 -' 7 Fax: <br /> Mailing address: O304.-r /kart(tt t'r[ ;Qc a� City/State: j/rp/t,. Zip: G 7C0,2Job site address: 2 35 y? , a4es r y Nc City: f t vci Zip: ei? 0a <br /> Directions to the site: <br /> Proposed Building Information <br /> 1. Site plan is attached(required): taYes o No <br /> 2. Type of Exemption: 'Agricultural Building o 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? effes o No <br /> If yes,please explain: �f rIgo f r n 4 '// nie,7 <br /> 4. Describe use of the building and items contained within: 6 e YI eyt C A J(1Gu l/uIP (JS e - -9000,77(n I- <br /> -5 <br /> S Tore ciP. Aifirt niAI107Pr1c C <br /> 5. Is the property in farm or forest deferral? riifes o No <br /> 6. Is the proposed structure located within a floodplain? oYes J1'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 oYes p.`No <br /> Septic oYes la'No <br /> Heating/Cooling/Ventilation/Mechanical oYes p'No <br /> 8. Will this structure be used by the public at any time? oYes KNo <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? 72O7'IC. <br /> 11. Is the proposed structure a manufactured home? oYes X No <br /> 12. Building Data:Length: 5 y Width: 3 6 Area: /9£7 /S f Height: <br /> 13. Parcel Information:Parcel Size: Vg Z��'/es Parcel No.: Zone: <br /> Page 1 of 5 <br />