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tet! ) <br /> j11ltura1 or Forestry Building Exemption Certification <br /> Equine Facility Exemption Certification & <br /> Marion County Public Works—Building Inspection Divi. <br /> Mort 5155 Silverton Rd.NE, Salem Oregon 97305 E C (�L� <br /> Phone: (503)588-5147 Fax: (503)588-7948 Email:building(a,co. . .n.or.us J <br /> OREGON MAR 142022 `J <br /> Site Plan is Required—see attached information MARION COUNTY <br /> \ L "WcverS�IQByILDINC INSPECTION <br /> Owner/applicant nam&toc ,M. e� v4t4 Phone: (...5- 42.1S-451-17- Emai : <br /> Mailing address O J(p City/State(�Ife$ Zip: 9-7 3% <br /> Job site address:,"S51g City/State: &o-44cS 02 Zip: 973'8, <br /> Parcel Information:Parcel Size: YO Parcel No.:09 3 6 26, Zone: 7c. <br /> Proposed Building Information <br /> Describe specific use of the building and items contained withint4 - ) _ or S4. 4 - <br /> O� <br /> 1...045 <br /> Q , Ot�Yi b SC�toe el-� 1-o.ri.l L.. o-� ( srns./S p <br /> Building Lata::ngt is Z. Width: /4g Area: '\y 5(d Height: <br /> Type of Exemption: o Agricultural Building KForestry 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?,3 <br /> Will this structure be used by the public at any time? oYes g No <br /> Is the proposed structure located within a floodplain? oYes ANo <br /> Is the building located on/used in the operation of a farm? ErYes o No <br /> Is the proposed structure a residential dwelling or manufactured home? oYes Cti?No <br /> Is the use of the structure or the items within it used for any business or commercial activities? RYes o No <br /> If yes,please explainSib 1...ncs e .;�p6,1 Schtor `�.t,M,�.. L°.,;�� �os�r.krsti'f <br /> Agricultural/Equine Exemption Criteria—Select all that apply: <br /> tit Storage,maintenance,or repair of machinery,equipment,and supplies used on this farm <br /> o Raising,harvesting,or selling crops raised on this farm <br /> o Feeding,breeding,management,or sale of livestock,poultry,furbearing animals,or honeybees <br /> o Dairying or the sale of dairy products produced on this farm <br /> o Other agricultural,horticultural,or animal husbandry used <br /> o Stabling,training,riding lessons,or clinics(Complete Equine Exemption Criteria) <br /> #of stalls/horses <br /> #of stalls/horses for personal use only <br /> #of stalls/horses used for commercial or trade purposes including boarding,training,rentals,clinics,shows,etc. <br /> Which of the following systems will the proposed structure have? <br /> • <br /> Electrical KYes o No(Complete Electrical Wiring Criteria) <br /> Will there be a concrete slab either within or adjacent to the building? Vies o No <br /> Will there be farm animals(poultry excluded)within the building at any time? oYes 6SNo <br /> Will there be farm animals(poultry excluded)on the slab at any time? oYes eskNo <br /> Will the building be used for storage of feed,hay,or straw? oYes �No <br /> Will the building be used for major repair of motor vehicle equipment? iitYes o No <br /> Heating/cooling/ventilation/mechanical oYes ak No <br /> Septic oYes dkNo (Any yes answer will require a separate permit) <br /> Plumbing(Please specify fixture type) oYes No <br /> Page 1 of 5 <br />