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r�n7 <br /> j /9 -0 - �- <br /> • <br /> Arif),„„L <br /> lECV{IVE1 <br /> " .a Agricultural or Forestry Building Exemption Certification <br /> - Equine Facility Exemption Certification M 2019 -� <br /> Marion County Public Works-Building Inspection Division <br /> Mou ty 5155 Silverton Rd.NE, Salem Oregon 97305MARION COUNTY <br /> Phone:(503) 588-5147 Fax: (503)588-7948 Ernail: building@co.marioaas.DINGEmail: INSPECTION <br /> OREGON <br /> Owner/applicant name: RV iI m Phone: 503-98y t/737Fax: <br /> Mailing address: goOs3 Aia- -ey.) Ge1Vc c c'\ City/State: Cr - co s 612 Zip: co D2.6 <br /> Job site address: /Uocis ,yt-A„u,► Gc- s City: Gt-.)N-s Zip: 970a 6 <br /> Directions to the site: /1) o,' 99C .t- Nli- I -CMCV <br /> Proposed Building Information <br /> 1. Site plan is attached(required): (es ❑No <br /> 2. Type of Exemption: XAgricultural 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 commercial activities? oYes ) No <br /> If yes,please explain: <br /> 4. Describe use of the building and items contained within: c c re t}-0f 1 4i-ea( O � <br /> ratan e4wprwc-01- ac i�arU Sh��s( tcck Cer- tinckic. <br /> 5. Is the property in farm or forest deferral?,, es ❑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 10 If plumbing will be installed,what type of fixture(s)? <br /> Electrical AYes ❑ No <br /> Septic oYes ;ION() <br /> Heating/Cooling/Ventilation/Mechanical oYes)4No <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? r‘ -6,t, hour Aaced-- ocAfiinc:I <br /> 11. Is the proposed structure a manufactured home? oYes )70No / <br /> 12. Building Data:Length: 9D Width: ?Q ' Area: gO(� st-4. Height: JP <br /> 13. Parcel Information:Parcel Size: 6 acrt3 Parcel No.: Zone: EFJ <br /> Page 1 of 5 <br />