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Agricultural or Forestry Buildin,4_Vim.tion Certificatio}>D <br /> Equine Facility Exem ft115).h, , ion <br /> Marion County Public Works-'e1 frog 'a li �' <br /> Marion411IS <br /> E�i i° APR 1 2019 <br /> County 5155 Silverton Rd.NE, Salem Jr <br /> Phone: (503) 588-5147 Fax: (503) 588-7948 Email: bui .• �!%1 . arionrA ION OUNTY <br /> OREGON 3)JILDINOI SPECTION <br /> Owner/applicant name: Brian Cottings Phone: 5039911232 Fax: <br /> Mailing address: 10602 Wheatland Rd NE City/State: Gervais, ORZip: 97026 <br /> Job site address: 10602 Wheatland Rd NE City: Gervais, OR Zip_ 97026 <br /> Directions to the site: On south side of driveway, approx 200 ft West of Pump house Dexirl 11 <br /> VI W C011ne.RDer-�r'1 <br /> ProposedrBuilding Information <br /> 1. Site plan is attached(required): *Yes o No <br /> 2. Type of Exemption: 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 z 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? )(Yes o No <br /> 6. Is the proposed structure located within a floodplain? :Nes so 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 to No If plumbing will be installed,what type of fixture(s)? <br /> Electrical oYes i No <br /> Septic oYes t No <br /> Heating/Cooling/Ventilation/Mechanical oYes No <br /> 8. Will this structure be used by the public at any time? oYes De 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 lc No <br /> 12. Building Data: Length: 24 Width: 36 Area: 864 sq. ft Height: 12 N.77:/ <br /> 1-0174( yo 1 6 (2)- 64ot 1,2k0Ter$1 15 7e zsr B <br /> 13. Parcel Information: Parcel Size: rarcel No.: Zone: <br /> Page 1 of 5 <br />