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. 0 -,,,, &Z 0/ 0 ?.'S6‘2--' 46-e <br /> , : <br /> ....1„: .,.,-" Agricultural or Forestry Building Exemption Certification <br /> 4e� <br /> . - Equine Facility Exemption Certification <br /> Marion County Public Works—Building Inspection Division <br /> Marion 5155 Silverton Rd.NE, Salem Oregon 97305 <br /> �ourtt�!" Phone: (503) 588-5147 Fax: (503) 588-7948 Email: buildingco.marion.or.us <br /> I EC0N` <br /> v n <br /> Owner/applicant name: [) Li2CR0 2. Phone: � ! " � ''.1 : <br /> Mailing address: City/State: Zip: <br /> Job site address: 4---/-2/ki� %��/G' Ci • Zlp �� •Z- <br /> Directions to the site: / e <br /> -- . <br /> Proposed Building Information <br /> 1. Site plan is attached(required): dYes ❑No <br /> 2. Type of Exemption: ❑ ricultural Building ❑Forestry Building ❑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 /> • 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? cs ❑No <br /> If yes,please explain: �y 4 �—r2 r J& TG�"r/�-3 �' ��S C 65 <br /> 4. Describe use of the building and-items contained within: ,!/( f 1.-- Al <br /> 5. Is the property in farm or forest deferral? el< o No <br /> 6. Is the proposed structure located within a floodplain? oYes ..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 io If plumbing will be installed,what type of fixture(s)? <br /> Electrical oYes E1 No <br /> Septic oYes a'No <br /> Heating/Cooling/Ventilation/Mechanical oYes r o 1 <br /> 8. Will this structure be used by the public at any time? oYes <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? <br /> 10. Where will restroom faciliti s be provided? Ir°4n''Vr- /az e e 'G� <br /> 11. Is the proposed structure a manufactured home? oYes <br /> 12. Building Data:Length: / 0,0 Width: �✓ _ Area: - Height: 2/ <br /> 13. Parcel Information:Parcel Size: , Parcel No.: Zone: 7` <br /> Page 1 of 5 <br />