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, . <br /> •I <br /> 4?PBC la //7 O ZY' <br /> Aericultural or Forestry Building Exemption Certification <br /> —aetra-ii,7*,: Equine Facility Exemption Certification <br /> Marion County Public Works—Building Inspection Division <br /> Marion <br /> 5155 SilvertonAd.NE,Salem Oregon 97305 <br /> County <br /> Phone:(503)588-5147 Fax (503)588-7948 Email;building@comarion.or.us <br /> oetc04 <br /> ownedeppik _ <br /> Michael Reynolds phmie: 5034002004 Fax: <br /> : <br /> mailing addres : 119 Stayton Rd SE city/state.: AUITISVIIIIP Zip: 97325 <br /> Job site address P1 <br /> IT19 Stayton Rd SE city,AurnsVille <br /> Proposed Building Information zip: 97325 <br /> Directions to th lite: <br /> 1. Site plan is ed(required): oYes a No <br /> 2. Type of Ex non: an Agricultural Building .e.Forestry Building a Eqaine Facility(provide information below): <br /> o To !lumber of stalls or equivalent number of horses: <br /> o Total number of stalls or equivalent number Ofhorses limited to personal use only: <br /> 4., To 1 number of stalls or equivalent number cif horses anticipated to be used for commercial or trade purposes <br /> inc.b ding,training,rental,haul-in,clinics,shows,etc,(consider futurei3lus): <br /> 3. Is the use of structure or the items within it used for any business or commercial activities? aYes e No <br /> If yes..please ex 1 '11: <br /> I <br /> tli <br /> 4. Describe use iiithe building and items contained within: Structure is an addition to an existing pole building <br /> used for farpl use (sheep housing),. There will be 2 additions (24x36: and 16x72) <br /> 5. Is the property 17 farmer forest deferrer? *Yes <br /> 6. Is the proposed structure loc.ated within a iinodpiain? °Yea e No <br /> 7. Will the proposed structure have any of the following systems?(If yes,separate permits are required for each System): <br /> Plumbing eyes c No If plumbing will bOnstalledl whattYpe of fultureOr <br /> Electrical *Yes o No underground:for livestock watering <br /> Septic <br /> 'Yes a Nof-/iL4//0/47‘/ <br /> HeatingitoolingAt entilationiMechanical oYes nt No <br /> 8. Will this struetre be used by the public at anytime? tiYes se No <br /> 9. What is the proposed maximum timber of people(including employees,owners,etc.)that will be present hi the <br /> building at any one tiro,? 3 <br /> 10. Where will rettr omit facilities be pmvided? our home is nearby <br /> „ . <br /> IL is the proposeli structure a manufactured home? °Yes m No <br /> 11 Building Data Length: Width Height <br /> 13. Parcel infotion:Parcel Size:2 0 c...C par—q--e-117,,,:-11.0 > 0 Z 7 Zone: <br /> 1 <br /> Pugs I of 5 <br /> 1 <br /> 1 <br />