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APpADVED <br /> -3-7961 . MAY 232019 <br /> • MARION COUNTY <br /> .41411.. Agricultural Building Exemption or Equine Facility Exemption CertifiatiblkDIN 3 INSPECTION <br /> Marion County Public Works—Building Inspection Division <br /> Cv ion ty 5155 Silverton Rd.NE, Salem Oregon 97305 <br /> Phone: (503)588-5147 Fax:(503)588-7948 Email:building@co.marion.or.us <br /> OREGON Sba., j >;cci�� <br /> Owner/applicant name: .10 Se- irGi YNeAr Phone: So •Co9. 20 3 3 Fax: <br /> Mailing address: 41439 V i c-tor ►A-k 12e1 NE City/State: `01.I VP.r rel OIC Zip: qZ SS <br /> Job site address: 4 It ci V i care Po i►.:t 1.4 NIC City: Si I VZip: x1381 <br /> Directions to the site: 5e P CaoxttQ w4.los <br /> Proposed Building Information <br /> 1. Site plan is attached(required): Wes o No <br /> 2. Type of Exemption: o Agricultural Building %Equine Facility(provide information below): <br /> o Total number of stalls or equivalent number of horses: 4 <br /> o Total number of stalls or equivalent number of horses limited to personal use only: Z. <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): 7-- <br /> 3. <br /> 3. Is the use of the structure or the items within it used for any business or commercial activities? }sfYes o No <br /> If yes,please explain: t*or+S e-- <br /> 4. <br /> 4. Describe use of the agricultural building and items contained within: 1-1-orse SSS -44r.k_ $44aat i <br /> Cro`M^vlelf CEAVA t'-4-•Ftao Is b a-roo W% <br /> 5. Is the property in farm deferral? 'es ❑No <br /> 6. Is the proposed structure located within a floodplain? oYes tgNo <br /> 7. Will the proposed structure have any of the following systems?(If yes,separate permits are required for each system): <br /> Electrical Wes o No If plumbing will be installed,what type of fixture(s)? <br /> -b i(oot, i S;n.k.5 2. kose_1,).+b5 <br /> Plumbing l p[Yes ,❑No Hyl, . /4,41 I: <br /> Septic \ (Yes o No / 1 <br /> Heating/Cooling/Ventilation/Mechanical oYes )g(No <br /> 8. Will this structure be used by the public at any time? oYes orNo <br /> 9. What is the proposed maximum number of people(including employees,owners,etc.)that will be present in the <br /> building at any one time? (o <br /> 10. Where will restroom facilities be provided? 1v`ddik¢_ 04✓+rV . <br /> 11. Is the proposed structure a manufactured home? oYes bd'No <br /> 12. Building Data:Length: Width: (DO Area: 5;040 St6•ct Height: l$ 4- <br /> 13. Parcel Information:Parcel Size: 3' 6tc.yes Parcel No.: I WVZD 0 1000 Zone: EFA.. <br /> Page 1 of 5 <br />