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.. �o C[E[IV{E <br /> Agricultural or Forest, :uildin! Exem I tion Certification <br /> rte' � � <. <br /> Equine Fac�'��� ion Certification <br /> Marion County Pub_"Ir /fel :�' .� pection Division APR , 0 2019 <br /> rrwt�I h/i• <br /> Marion5155 Silverton Rd. °� : � ���y'�` /�) 97305 MARION COUNTY <br /> Phone: (503) 588-5147 Fax: (503) 588- •-`: ' T ` lding(a,co.mario <br /> or uIL-uING INSPECTION <br /> OREGON <br /> Owner/applicant name: Brian Cottings Phone: 5039911232 Fax: <br /> Mailing address: 10602 Wheatland Rd NE City/State: Gervais, OR Zip: 97026 <br /> Job site address: 10602 Wheatland Rd NECity: Gervais, OR Zip: 97026 <br /> Directions to the site: On south side of driveway, approx 200 ft West of Pump house D€r-,�rl A <br /> A W Co►2.rteR 7 f -7�/ DeT 1.1 <br /> Proposed Building Information <br /> 1. Site plan is attached (required): 1Yes o No <br /> 2. Type of Exemption: c 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? oYes No <br /> If yes,please explain: <br /> 4. Describe use of the building and items contained within: Farm equipment <br /> 5. Is the property in farm or forest deferral? KYes o No <br /> 6. Is the proposed structure located within a floodplain? oYes tiu 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 v No <br /> Septic oYes t No <br /> Heating/Cooling/Ventilation/Mechanical oYes g No <br /> 8. Will this structure be used by the public at any time? oYes 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? 2 <br /> 10. Where will restroom facilities be provided? Home <br /> 11. Is the proposed structure a manufactured home? oYes x No <br /> 12. Building Data: Length: 24 Width: 36 Area: 864 sq. ft Height: 12 N /I i9 <br /> 2.Wrfl L40 16 (t)- Liot 04.9 Tbrr�l i5 r7em►i t <br /> 13. Parcel Information: Parcel Size: Farcel No.: Zone: <br /> Page 1 of 5 <br />