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Jun 10 21 03:25p Brazier,Hinz&Assc 503-566-7446 SS'S-24;006044. <br /> ® RC1 = �1 <br /> e Agricultural or Forestry Suildin Exemption Cer ' <br /> _ Equine Facility Exemption Certification- <br /> Marion County Public Works-Building Inspection DivisionJUN 1 0 2021 <br /> jarl onty 5155 Silverton Rd.NE,Salem Oregon 97305 <br /> Phone: (503)588-5147 Fax: (503)588-7948 Email:buildin accUAB1QNts000NITY <br /> OREGON DING INSPECTION <br /> Site Plan is Required-see attached information <br /> MA xi/l 4 <br /> Owner/applicant name: 60-011 £tj.e.tb le Phone:_603-611- &04 Email: @Mar/. (om <br /> Mailing address: Po pox 2.1.0 City/State: ajo(i rn i � OK Zip: 17.385 <br /> Job site address: 1Zi7Q{� Z‘Ilfer Fa([S IfiAly SC City/State: ,y,5v111.e , OP- Zip: 9 7315 <br /> Parcel Information:Parcel Size: 76.t acresParcel No.: ? Zone: ? <br /> kiti(T MA 2.W)o040C) <br /> Proposed Building Information ff <br /> Describe specific use of . e building and items containe within ort S4a j j S Te. k i f' -eel,�"`9 41-44,ii <br /> C. 4 ti. alt il v-es c IC f tn.�. , ay s iov`ar 1 Alco r I-o'-age 194-- a,-,,,, ega;idif <br /> BuildingDat2C Length: -co' Width: i{$r Area: a.8 ") Height: /$i Eve on /t'ta*a <br /> Type of Exemption: Agricultural Building ❑Forestry Building ❑ Equine Facility(Provide information below): <br /> What is the proposed maximum number of people(including employees,owners,etc.) that will be present in the building at <br /> any one time? 6 <br /> Will this structure be used by the public at any time? oYes ra fo <br /> Is the proposed structure located within a floodplain? aYes talo • <br /> Ts the building located oniused in the operation of a farm? refres o No <br /> Is the proposed structure a residential dwelling or manufactured home? oYes 4o <br /> Is the use of the structure or th itemjf within't used for any business or commercial activities? ar es a No <br /> If yes,please explain: o5Sr Wt:. tp -s•e Aaar6t4 et r 7l fr•itakl'h-9 • <br /> /Storage, <br /> Exemption Criteria-Select all that apply: <br /> of SStorage,maintenance,or repair of machinery,equipment,and supplies used on this farm <br /> G4aising,harvesting,or selling crops raised on this farm <br /> akeeding,breeding,management,or sale of livestock,poultry,forbearing animals,or honeybees <br /> a Dairying or the sale of dairy products produced on this farm <br /> o 9ther agricultural,horticultural,or animal husbandry used <br /> Stabling,training, riding lessons,or clinics(Complete Equine Exemption Criteria) • <br /> #of stalls/horses 1 <br /> #of stalls/horses for personal use only 1 , <br /> #of stalls/horses used for commercial or trade purposes including boarding,training,rentals,clinics,shows,etc. 2. <br /> Which of the following systems will the proposed structure have? <br /> Electrical roes e No (Complete Electrical Wiring Criteria) <br /> Will there be a concrete slab either within or adjacent to the building? des o No <br /> Will there be farm animals(poultry excluded)within the building at any time? Ofes ❑No <br /> Will there be farm animals(poultry excluded)on the slab at any time? dyes o No <br /> Will the building be used for storage of feed,hay,or straw? es o No <br /> Will the building be used for major repair of motor vehicle equipment? oYes talo <br /> Heating/cooling/ventilation/mechanical oYes Ao <br /> • Septic oYes /No 1 (�Any yes answer will require a separate permit) <br /> Plumbing(Please specify fixture type) d -f <br /> es ❑No Wo' t COY- H K;Alt a I S <br /> Page 1 of 5 <br />