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- - ' <br /> ;Ares <br /> Agricultural or Forestry Building Exemption Certifi : <br /> lJ <br /> Equine Facility Exemption Certification <br /> Marion County Public Works—Building Inspection Di ► 1 <br /> Pla 5155 Silverton Rd.NE, Salem Oregon 97305 11 IIII �� <br /> county e: (503) 588-5147 Fax: (503) 588-7948 Email:building@co.marion:�df�ns 1 2 <br /> R; E t MARION COUNTY <br /> Site Plan is Required—see attached information BUILDING INSPECTION <br /> Owner/ cant name: Roger&Julie Bersin Phone: 503-851-3880 Email: lbersin@guildmortgage.net <br /> Mailing address: 15317 Evans Valley Lp NE City/State: Silverton, OR Zip: 97381 <br /> Job site address: 15317 Evans Valley Lp NE City/State: Silverton, OR Zip: 97381 <br /> Parcel Information:Parcel Size: Parcel No.: Zone: <br /> Proposed Building Information <br /> Describe specific use of the building and items contained within Indoor arena to exercise our horses in the winter time <br /> Building Data:Length: 133 Width: 80 Area: Height: 14 <br /> Type of Exemption: "Agricultural Building o Forestry Building o 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? 8-7 <br /> Will this structure be used by the public at any time? oYes U No <br /> Is the proposed structure located within a floodplain? oYes U No <br /> Is the building located on/used in the operation of a farm? "Yes o No <br /> Is the proposed structure a residential dwelling or manufactured home? oYes "No <br /> Is the use of the structure or the items within it used for any business or commercial activities? oYes "No <br /> If yes,please explain: <br /> Agricultural/Equine Exemption Criteria—Select all that apply: <br /> o 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 /> a Stabling,training,riding lessons,or clinics(Complete Equine Exemption Criteria) <br /> #of stalls/horses 4 <br /> #of stalls/horses for personal use only 4 <br /> #of stalls/horses used for commercial or trade purposes including boarding,training,rentals, clinics,shows,etc. 0 <br /> Which of the following systems will the proposed structure have? <br /> Electrical •Yes o No(Complete Electrical Wiring Criteria) <br /> Will there be a concrete slab either within or adjacent to the building? oYes "No <br /> Will there be farm animals(poultry excluded)within the building at any time? !Yes o No <br /> Will there be farm animals(poultry excluded)on the slab at any time? oYes "No <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? oYes "No <br /> Heating/cooling/ventilation/mechanical oYes "No <br /> Septic oYes UNo (Any yes answer will require a separate permit) <br /> Plumbing(Please specify fixture type) oYes "No <br /> Page 1 of 5 <br />