Laserfiche WebLink
IC ^ DDa5-� L <br /> Agricultural or Forestry Building Exemption Certification D :Coi:coll <br /> V LE-,Equine Facility Exemption CertificationMarion County Public Works—Building Inspection Division ti. PRMarion 5155 Silverton Rd.NE, Salem Oregon 97305 2019COuntyPhone: (503) 588-5147 Fax: (503) 588-7948 Email:building(a�co.OREGON U�� <br /> SPECTION <br /> Owner/applicant name: .%?4 H Qac c/<.-e7 Phone:f"I "Z O?"-C716 Fax:62 9?/" <br /> Mailing address: /6?S7 4eigiely L ,/E City/State:V r� wt o, Zip: Q 70 7/ <br /> Job site address: 4tel City: Zip: <br /> Directions to the site: <br /> Proposed Building Information <br /> 1. Site plan is attached(required):,Yes ❑No <br /> 2. Type of Exemption:YAgricultural Building o Forestry Building ❑Equine Facility(provide information below): <br /> o Total numiSer 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? "'es ❑No <br /> If yes,please explain: S-1 O r ce <br /> 4. Describe use of the building and items contained within: 5 4-orecc ff e r dte Q!i9 *fa s1 <br /> 5. Is the property in farm or forest deferral?X(es o No <br /> 6. Is the proposed structure located within a floodplain? oYes leNo <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 If plumbing will be installed,what type of fixture(s)? <br /> Electrical )eYes o No <br /> Septic oYes cNo <br /> Heating/Cooling/Ventilation/Mechanical Ayes o No <br /> 8. Will this structure be used by the public at any time? oYes peNo <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? < / 0 <br /> 10. Where will restroom facilities be provided? <br /> 11. Is the proposed structure a manufactured home? oYes )(NO <br /> r � <br /> 12. Building Data: Length: /76 Width:é - - / Area: Height: <br /> 13. Parcel Information:Parcel Size: Parcel No.: Zone: <br /> Page 1 of 5 <br />