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8604096
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Last modified
5/22/2019 7:37:02 AM
Creation date
4/29/2019 11:33:34 AM
Metadata
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Template:
Permits
Permit Address
11894 SILVER FALLS HWY SE
Permit City
AUMSVILLE
Permit Number
555-19-002950-AGE
Parcel Number
081W21 00600
Permit Type
Agricultural Equine
Permit Doc Type
Permit Document
Status
Ready to Film
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VEL12.41 <br /> • �W Agricultural or Forestry Building Exem'tion Certificati <br /> .= Equine Facility Exemption Certification APR 2 3 2019 <br /> Marion County Public Works—Building Inspection Division �c7 <br /> CO ion y 5155 Silverton Rd.NE, Salem Oregon 97305 gu AnnRION C UNTY <br /> Phone: (503)588-5147 Fax: (503)588-7948 Email: building(&co.mano1bf..G IN PECTION <br /> OREGON /C( _00-2-C J- <br /> � <br /> Owner/applicant name: P -J4 h)5 /9-Al l)4-©. Phone:5D -7 9 !W72 Fax: 1 <br /> Mailing address: 15.0"--- -2.8. City/State: SCS vl L L€ el- Zip: 7 7s z 3-- <br /> Job <br /> Job site address: /l8 9`/ .5/LL' - /A1 Lc biwy s City: AuA'S WL LE, Zip: ? s <br /> Directions to the site: //to y. z -, tc./T 7 -- rhe-.4" ,4/'/'o ) ( Ai(L Q.,5 <br /> Proposed Building Information <br /> 1. Site plan is attached(required): )(Yes 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? oYes o No <br /> If yes,please explain: <br /> 4. Describe use of the building and items contained within: ST'D role- ej i v PM.f'4-S!©r <br /> C c'-'-(4_(.44t-77O Al <br /> 5. Is the property in farm or forest deferral? ,Yeo <br /> 6. Is the proposed structure located within a floodplain? oYes to <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 ` yes ❑Nf• `2 .T <br /> 4712 / <br /> Septic oYes 'V_No <br /> Heating/Cooling/Ventilation/Mechanical oYes 1 To <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? 3 <br /> 10. Where will restroom facilities be provided? <br /> 11. Is the proposed structure a manufactured home? oYes 'No <br /> / <br /> 12. Building Data: Length: 384 Width: 1016 VS/ Area: Height: oZ O. G <br /> 13. Parcel Information:Parcel Size: ,Z O © le..Parcel No.: Zone: <br /> Page 1 of 5 <br />
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