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Agricultural or Forestry Building Exemption Certification, APR 10 2019 <br /> Equine Facility Exemption Certification <br /> {/tCEINEll <br /> • :,1 minty Public Works—Building Inspection Division <br /> . «7 <br /> Marlon - ` i 55 Silverton Rd.NE, Salem Oregon 97305 MARION COUNTY <br /> COg [� 1 ' �•� `' 1 .'1.147 Fax: (503) 588-7948 Rmail: building@co.man o ING INSPECTION <br /> L. <br /> OREGON ici,() 124 <br /> Owner/applicant name: Ir 0\D b T1a� • Phone: C3 qia (--\ x <br /> 5 Fa <br /> Mailing address: \‘01 �jv)S \ \3 ff p City/State: 161.\ -)Mt\ 0�'c. Zip: 9�010 <br /> Job site address: 'LC)y L\9 t? 2U \ Rd NE City: f\ U'(0 rq Zip: C\10O <br /> Directions to the site: ) c`ti S� `\t5i 053 b 'L\\za�1 AO V e\NI <br /> Proposed Building Information <br /> 1. Site plan is attached(required): Wes o No <br /> 2. Type of Exemption: o 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 X,No <br /> • If yes,please explain: <br /> 4. Describe use of the building and items contained within: VI,c'c, 5-10 q rs @ l)1�7(IVA <br /> 5. Is the property in farm or forest deferral? KYes o No <br /> 6. Is the proposed structure located within a floodplain? oYes X\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 NNo If plumbing will be installed,what type of fixture(s)? <br /> Electricales�❑No ( �i1ee 1 m/ fy . <br /> j3 lig/K-Septic ❑Yes No • <br /> /4/1.14 <br /> Heating/Cooling/Ventilation/Mechanical '❑No - <br /> 8. Will this structure be used by the public at any time? oYes XNo • <br /> V <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? o� <br /> 10. Where will restroom facilities be provided? R6{-\-\ V <br /> • <br /> 11. Is the proposed structure a manufactured home? aYes _ To <br /> 12. Building Data,Length: ,Q c' width. 4$ Area_ Height: -2 0 <br /> 13. Parcel Information:Parcel Size: Parcel No.:V7 Zone: [ L <br /> Page 1 of 5 <br />