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I�-nor- \-LA <br /> =-" t.'c�''�.,,� Azc-iculfuraI or Forestry Buildina Exemption Cerlificati <br /> uV - <br /> Equine Facility Exemption Certification <br /> Marion County Public Works—Building Inspection DivisioJAN 3 0 2019ji <br /> CO 5155 Silverton Rd.NE, Salem Oregon 97305 <br /> Phone:.(503)588-5147 Fax:(503) 58877948 F.-mail: ION COUNTY <br /> 0 R F G o N BUILDING INSPECTION <br /> ON <br /> OwneeapplicantnamP: �jL� 6.2 ft-4 L ,I V. (Phone: 5)3- Il)-•=f 17 Fax <br /> address: � (C �, $ - !State: <br /> g S� l�r �r Imo S� ty x115 ;0 2 Zap: q7358 <br /> rob site address: 5 rn .. City: Zip: <br /> Directions to the site: '1.-t,,,)A,1 -fes Cl.E a(14. Q -b. Psi DIA err'4a Taj r Phi CC <br /> Proposed Building Information <br /> L Site plan is attached(required): AYes o No <br /> 2. Type of Exemption: ❑Agricultural Bwlrrng 44,Forestry Buildi g ❑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.boarrling,training rental,haul-in,clinics,shows,etc.(consider future plans): <br /> • <br /> 3. Is the use of the structure or the items within it used for any business or commercial activities? oYes ANo <br /> IfY esplease explain: <br /> 4. Describe use ofthe buil and itemscontained within: f t :-�-ven Ace> r.e 't r ol-. 6- rd C <br /> - <br /> 1 4 _ <br /> r��(it c�-ED ft t�U c� _ ��5. +O615 <br /> 5. Is the property.in farm or forest deferral? cares ❑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 gLNo If plumbing will be installed,what type of fxture(s)? <br /> Electrical ps<Yes ❑No �- <br /> Septic oYes %No <br /> Heating/Cooling/Ventilation/Merhanical oYes sit No <br /> 8. Will this structure be used by the public at any time? oYes titNo <br /> 9. Whet is the proposed maximum number of people(including employees,owners,.etc.)that will be present in the <br /> • <br /> building at any one time? _ <br /> 10. Where will restroom facilities be provided? fl� <br /> 11. Is the proposed structure a manufactured home? oYes 0.No • <br /> 12. Building Data:Length: 321 Width: ?i() Area: Height <br /> 13. Parcel Information:Parcel Size: he)a.c_ Parcel No.: t OO Zone: FC. <br /> Page 1:of 5 <br />