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19, m3o?-a - 14-6--c <br /> . ,`�.. , !ricultural or Forestr Buildin' Exem'tion Certification � <br /> t t , APR 2 9 2019 <br /> i`• Equine Facility Exemption Certification �� <br /> last Marion County Public Works—Building Inspection Division ; N COUNTY <br /> Marr r <br /> County 5155 Silverton Rd. NE, Salem Oregon 97305 � � «� NSPECTION <br /> Phone: (503) 588-5147 Fax: (503) 588-7948 Email: building@co.marion.or.us <br /> OREGON <br /> Owner/applicant name: V)aYYvl \i rr. Eat Phone: 563 E'51 ' V7Fax: <br /> Mailing address: l((o4`,-i E.veiGrPieki KE City/State: cvL1.-U'f,V 'c) 6 V- Zip: q7 3S <br /> Job site address: l(4'5 Eifel/re-0V_ (24W Ntt . City: S tly),n 61.- Zip: q <br /> Directions to the site: <br /> Proposed Building Information <br /> 1. Site plan is attached (required): 14es ❑ No <br /> 2. Type of Exemption: VAgricultural 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 e'No <br /> If yes, please explain: <br /> 4. Describe use of the building and items contained within: -1I 4.e. uY Iny 1 F./���k, Ci Ott i cal , <br /> \'ol.tu,- t S }-u-o(,5 -Maw <br /> Y <br /> 5. Is the property in farm or forest deferral? gYes o No <br /> 6. Is the proposed structure located within a floodplain? oYes ii/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 INo If plumbing will be installed,what type of fixture(s)? <br /> Electrical t 'es o No <br /> /I ,/`4 1,74,7/ <br /> Septic oYes VNo <br /> Heating/Cooling/Ventilation/Mechanical oYes 6(No <br /> 8. Will this structure be used by the public at any time? oYes INo <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? <br /> 10. Where will restroom facilities be provided? etine- Vr9 <br /> 11. Is the proposed structure a manufactured home? oYes rVNo <br /> 12. Building Data: Length: .3(c) Width: LNH— Area: 17 Z$ b`,- -1-1-4- Height: 16' -110 -e <br /> 13. Parcel Information: Parcel Size: v 3 Parcel No.: Zone: E <br /> Page 1 of 5 <br />