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rrec. <br /> VAR 20 2018 PM 2;27 <br /> ra CA CO <br /> ' ,• ` `VD Agricultural or Forestry Building Exemption CertificatiQ <br /> Equine Facility Exemption Certification. <br /> Marion County Public Works—Building Inspection Division <br /> M vz 5155 Silverton Rd.NE, Salem Oregon 97305 APR 0 8 2019 <br /> county Phone: (503)588-5147 Fax:(503)588-7948 Email:buildingeco.maricom <br /> MON QOU <br /> OREGON BUILDING INSPECTION <br /> Owner/applicant name: Darin Knutson Phone: 503-508-1754 Fax: <br /> Mailing address: 10182 Shaff Rd SE City/State: Aumsville Zip:97325 <br /> Job site address: same City: Zip: <br /> Directions to the site: From Aumsville use West Stayton Rd to Shaff Rd, turn left on Shaff Rd <br /> Proposed Building Information <br /> 1. Site plan is attached(required): ayes 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: 3 • <br /> o Total number of stalls or equivalent number of horses limited to personal use only: 3 <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): o <br /> 3. Is the use of-the structure or the items within it used for any business or commercial activities? oYes a No <br /> If yes,please explain: <br /> 4; Describe use ofthe building and items contained within: horse stalls and storage of feed and <br /> equipment related to farm and animals <br /> 5. Is the property in farm or forest deferral? eyes o No <br /> 6. Is the proposed structure located within a floodplain? oYes a 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 No If plumbing will be installed,what type offxture(s)7 <br /> • <br /> Electrical oYes l(No <br /> Septic ❑Yes a No <br /> Heating/Cooling/Ventilation/Mechanical oYes X No <br /> 8. Will this structure beusedby the public at any time? oYes a 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? 10 <br /> 10. Where will restroom facilities be provided? no <br /> 11. Is the proposed structure a manufactured home? oYes a No <br /> 12. Building Data:Length: 3 ,' Width: 3 ` Area: Height )2 ) <br /> 13. Parcel Information:Parcel Size: 23 Parcel No.: Zone: <br /> Page 1 af5 <br />