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/ OOzA\- /16-L <br /> tural or Forestry Building Exemption Certification APR 2 5 <br /> =� y1, 11 0 0Equine Facility Exemption Certification 2019 County Public Works-Building Inspection Divisio Iv; ,; m LGUNTY <br /> Marron l'- 5155 Silverton Rd.NE, Salem Oregon 97305 U!L®ING INSPECTION <br /> County <br /> Phone: (503)588-5147 Fax: (503)588-7948 Email:building@co.marion.or.us <br /> OREGON /..,e& yr Q 7 t-L :_ Ce I(: <br /> Owner/applicant na per , Lid/ o3 $-Zf)/ ax: St-3- Y-3 <br /> Mailing address: 3SC �'t�(�/�`� �rr-e- SLS ity/State: rj /91 'L. (2 Zip: -ff")�O 2 <br /> Job site address: 31(6 �4//l .h4 n 2 City: 5r4��/Y�-- Zip: q ?3 Z3 2._ <br /> r 4'e— <br /> n �` <br /> Directions to the site: Web�' on• e� -fo BOf1/n*n e - 1 w� �-�" Rd d p�Y�. (c) <br /> Proposed Building Information <br /> 1. Site plan is attached(required):, Yes o No <br /> 2. Type of Exemption: ICAgricultural Building ❑Forestry Building ❑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 co -mercial activities? res o No <br /> If yes,please explain: „,/il/S t,-At kr- £ lj va q- s)f-I[ /1'1-- ►-9 <br /> 4. Describe use of the building and items contained within: S4M a.42 <br /> tA 0 r k fll'"G/1-3 <br /> 5. Is the property in farm or forest deferral? } `Yes o No <br /> 6. Is the proposed structure located within a(floodplain? oYes(i)No <br /> 7. Will the proposed structure have any of the following systems?(If yes, separate permits are required for each system): <br /> Plumbing )(Yes ❑No If plumbing will be installed,what type of fixture(s)? <br /> Electrical } Yes ❑No f t <br /> Septic oYes o /74 G.et 11/1/4177 r <br /> Heating/Cooling/Ventilation/Mechanical oYes <br /> 8. Will this structure be used by the public at any time? oYes VNo <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.- �p L / Q <br /> 10. Where will restroom facilities be provided? IA fl r A/ ADIAT-G, n e err- ,b u(( 62 © 1" <br /> `epl".1R'6/& peede.-G( <br /> 11. Is the proposed structure a manufactured home? oYes 10 <br /> i <br /> 12. Building Data: Length: /Q 0 Width: 5'0 ' Area: Height: <br /> 13. Parcel Information:Parcel Size: $q. 3 A e_ Parcel No.: C1 )0 Zone: r-74--,iv\ 2 e <br /> Page 1 of 5 <br />