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gpmpAgwEil <br /> -0Agricultural or Forestry Building Exemption Certific 1,q <br /> Equine Facility Exemption Certification J `` 1 L \J l <br /> Marion County Public Works-Building Inspection Div{si <br /> Marion <br /> 5155 Silverton Rd.NE, Salem Oregon 97305 - JUN 2 5 2019 <br /> Phone: (503)588-5147 Fax: (503) 588-7948 Email:building • co.mario... ..usC. <br /> OREGON -�- NCOUNTY <br /> 1(351-`‘A32-- <br /> S� p,/ S "91° <br /> ��b _� le <br /> INSPECTION <br /> Owner/applicant name: �J Phone: Fax: <br /> Mailing address: S( 6E-( 04-54-06-4, C.a`t4") ' City/State: S. —4D %O Zip: 1138 <br /> Job site address: �4 4 D b CVCAfr JQi > Fcnt.V City: l U � Zip: q"7 3 8i <br /> Directions to the site: Sf-e.0 kr-w,wee-Fifa 40 Ev04-1 UO.I,ID 'I"i Cvotetzxxa ov,'Q 6 <br /> Proposed Building Information <br /> 1. Site plan is attached(required): oYes o No <br /> 2. Type of Exemption: '4icultural 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 n-No <br /> • <br /> If yes,please explain: <br /> 4. Describe use of the building and items contained within: C.(au\ USS A;►.s ,Dour <br /> �A v nPN-►.)t\ JCS T1r ±n <br /> 5. Is the property in farm or forest deferral? e ices ❑No <br /> 6. Is the proposed structure located within a floodplain? oYes (El <br /> 7. Will the proposed structure have any of the following systems?(If yes,separate permits are required for each system): <br /> Plumbing oYes 'To If plumbing will be installed,what type of fixture(s)? <br /> Electrical oYes dNo <br /> Septic oYes dN <br /> Heating/Cooling/Ventilation/Mechanical oYes d No <br /> 8. Will this structure be used by the public at any time? oYes o'N0 <br /> 9. What is the proposed maximum renumber 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? t.10 <br /> 11. Is the proposed structure a manufactured home? oYes _ dNo <br /> 12. Building DataLength:_ (2 d Width: 7 Z Area: l 3 2L) Height: 14, <br /> 13. Parcel Information:Parcel Size: 1)--S0 O C Parcel No.: l b OO Zone: "Ti t" ber- P e&re <br /> -1Z615 INck-OC KoC, l • Co Page 1 of 5 <br />