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Agricultural or Forestry Building Exemption Ce 'Mr. <br /> ^ J <br /> fi <br /> Equine Facility Exemption Certification <br /> Marion County Public Works—Building Inspection Division <br /> Marlon 5155 Silverton Rd.NE, Salem Oregon 97305 <br /> Com Phone: (503)588-5147 Fax: (503) 588-7948 Email:building@co.marion.or.us <br /> OREGON --�" <br /> Owner/applicant name: I;u y 'EDT-024.CD Phone: 5O (o- in Fax: SC),-6 04,-o I S3 <br /> Mailing address: '9 ����e Sk City/State: Mon r1o LA-\,, Zip: c1 .73 6 <br /> Job site address: 02 OY Ily •5k- City: `>q\er ) Zip: <br /> Directions to the site: <br /> Proposed Building Information <br /> 1. Site plan is attached(required): oYes o No <br /> 2. Type of Exemption: '/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? oYes IWKo <br /> If yes,please explain: <br /> 4. Describe use�of the building and items contained within: S� \tJ <br /> 5�o Y e -rckYrr`:E t\S/' e U\91'Y1ev <br /> 5. Is the property in farm or forest deferral? es o No <br /> 6. Is the proposed structure located within a floodplain? oYes <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 fnzture(s)? <br /> Electrical oYes <br /> Septic oYes <br /> /o <br /> Heating/Cooling/Ventilation/Mechanical oYes 24o <br /> 8. Will this structure be used by the public at any time? oYes 04o - <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? q <br /> 10. Where will restroom facilities be provided? ?(-)t U�\P (.ti\-' yy-\ W \\ ") <br /> 11. Is the proposed structure a manufactured home? oYes -en" lo <br /> 12. Building Data:Length: „Q CJ F Width: 020. 1 Area: L` 00 Height: I F <br /> 13. Parcel Tnformation:Parcel Size: 0.630 4 Parcel No.:-#3 )*,.1 -jv--711" <br /> Zone: -3 A <br /> Page I of 5 <br />