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l X -c&_. <br /> ri) <br /> • <br /> Agricultural or Forestry Building Exemption Cert -O93 ion <br /> Equine Facility Exemption Certification APR 19 201 <br /> Marion County Public Works—Building Inspection Division <br /> Camrton 5155 Silverton Rd.NE, Salem Oregon 97305 �1A ;ON COU Ty <br /> Phone: (503) 588-5147 Fax: (503)588-7948 Email: buildinggeklnarioNG.TAisTIONpE <br /> OREGON <br /> Vince Koletar X763-� `JlD R <br /> Owner/applicant name: Phone: Fax:x: <br /> Mailing address: 4599 Grand Fir Ln S City/State: Salem OR Zip: 97302 <br /> Job site address: 4080 Riverdale Rd S City: Salem, OR Zip: 97302 <br /> Directions to the site: off Riverdale, road to top of property, SW property loc. <br /> Proposed Building Information �, <br /> U <br /> 1. Site plan is attached(required): eyes o No h L <br /> 2. Type of Exemption: a Agricultural 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? eYes o No <br /> If yes,please explain: Orchard development & operation <br /> 4. Describe use of the building and items contained within: structure will be used for storage of agricultural <br /> equipment/machinery, supplies, fertilizer, and seed. <br /> 5. Is the property in farm or forest deferral? eYes o No m <br /> 6. Is the proposed structure located within a floodplain? oYes e No F IiL <br /> 7. Will the proposed structure have any of the following systems?(If yes,separate permits are required for each system): <br /> Plumbing eYes o N If plumbing will be installed,what type of tixt re(s)? <br /> Electrical eYes o No toilet & sink 4. �(w <br /> Septic 'Yes o N� <br /> Heating/Cooling/Ventilation/Mechanical oYes a No <br /> 8. Will this structure be used by the public at any time? oYes e 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? 4 <br /> 10. Where will restroom facilities be provided? within the structure <br /> 11. Is the proposed structure a manufactured home? oYes a No <br /> 12. Building Data: Length: 60f Width: 36f Area: 2160sf Height: 22f <br /> 13. Parcel Information:Parcel Size: 11.72 ac Parcel No.:Ora s/o74 (50300 Zone: SA <br /> Page 1 of 5 <br />