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• '70 <br /> /9 <br /> gricultural or Forestry Building Exemption Certifica <br /> Equine Facility Exemption Certification � l� V D <br /> on County Public Works-Building Inspection Div.si.j. <br /> Marion y ` 5155 Silverton Rd. NE, Salem Oregon 97305 AY 15 2019 <br /> • one: (503) 588-5147 Fax: (503) 588-7948 Email: buildin l @co.m. t .or <br /> .,• - aft UgiY <br /> () R E C O �` <br /> BUILDING <br /> INSPECTION <br /> � <br /> . <br /> Owner/applicant ame: 51(l)3c4 l v"-)I L Sc-r( Phone: 5(-)3 ("-?8 -Z3`)5 Fax: <br /> Mailing address: 7-2-1 3 v Sod M'5 (7E✓L+2'f R- City/State: 4 A/k Zip: 170°7-- <br /> Job <br /> om©°ZZJob site address: z-t ti S O Ott Lam H c City: y2°R A Zip: F?v-'- <br /> Directions to the site: / /A/Is Irl T" hAeo(LA <br /> Proposed Building Information <br /> 1. Site plan is attached(required): Sa-Yes ❑ No <br /> 2. Type of Exemption: igl,Agricultural 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 o No <br /> If yes,please explain: f-4 R tkn 514 o P <br /> 4. Describe use of the building and items contained within: F/-Fzinn SHn P <br /> 5. Is the property in farm or forest deferral? Wes ❑ No <br /> 6. Is the proposed structure located within a floodplain? oYes y(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 [A,No If plumbing will be installed,what type of fixture(s)? <br /> Electrical IJ.Yes o No / /".,„„,1 <br /> Septic oYes if No <br /> C <br /> Heating/Cooling/Ventilation/Mechanical oYes h-No <br /> 8. Will this structure be used by the public at any time? oYes <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?!NI Home <br /> 11. Is the proposed structure a manufactured home? oYes 94No <br /> 12. Building Data: Length: `1 B Width: Co Z Area: G C?7(p Height: 2-9 <br /> 13. Parcel Information: Parcel Size: Lit 3 Parcel No.: ( Z "3 Zone: E F4-4 <br /> l Ai. G.O` . oK!v-t /,-/ A o v Kud <br /> (c3Z <br /> ' <br /> Page 1 of 5 ' <br />