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'&1 - 00 <br /> Zl14i - <br /> OvDt ral or ForestryBuildin Exemption Certificatv �4G' <br /> Equine Facility Exemption Certification <br /> Marion County Public Works-Building Inspection Divi o <br /> Marion 5155 Silverton Rd.NE, Salem Oregon 97305 MAR 25 2019 <br /> Phone: (503)588-5147 Fax: (503) 588-7948 Email:building@co.marion.or.us <br /> OREGON MAfiION COUNTY <br /> //�/ BUILDING INSPECTION <br /> Owner/applicant name: /� /�,( /< eoQ Phone: 3 '/ 72(c Fax: <br /> PO <br /> Mailing address:I () 6c$ 306' City/State: Gs/0A-' S O(< zip 13.5 8 <br /> Job site address:/0 2/6biz-4/1 <br /> 1�✓4G-/✓6:2 /2D City: L.'Q•4t)j ©/'Z Zip: 9''7 3s <br /> Directions to the site: /'t " i 2 z- E4-)T- L C- �3 -‘1 - 2-'s 'N) tt_5 <br /> Proposed Building Information <br /> 1. Site plan is attached(required): )(Yes ❑No <br /> 2. Type of Exemption: o Agricultural Building AForestry Building o Equine Facility(provide information below): <br /> o Total number of stalls or equivalent number of horses: „J <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 c10 <br /> If yes,please explain: <br /> 4. Describe use of the building and items contained within: /2,,ift t 7 5'To <br /> 5. Is the property in farm or forest deferral? es o No yy <br /> 6. Is the proposed structure located within a floodplain? oYes m'�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 r To If plumbing will be installed,what type of fixture(s)? <br /> Electrical oYes ANo <br /> Septic oYes O.No <br /> Heating/Cooling/Ventilation/Mechanical oYes g4lo <br /> 8. Will this structure be used by the public at any time? oYes It 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? 2 <br /> 10. Where will restroom facilities be provided? MA i-f u S E <br /> 11. Is the proposed structure a manufactured home? oYes "I No / <br /> IPl/ <br /> 12. Building Data: Length: �,, Width: f Area: S 76 Height: /C, <br /> 13. Parcel Information: Parcel Size: 2,7 a • Parcel No.: Zone: <br /> Page 1 of 5 <br />