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iECiEOVED - «•4 Agricultural or Forestry Building Exemption Certificatiol43-6 443.,AcA Equine Facility Exemption Certification L SEP 0 2023 Marion County Public Works—Building Inspection Division Marion 5155 Silverton Rd.NE, Salem Oregon 97305 County Phone: (503) 588-5147 Fax: (503) 588-7948 Email:building(a�co.mariotO MARION COUNTY �tINC INSPECTION OREGON Site Plan is Required—see attached information Owner/applicant name: Ru 55 Phone: ,c03^, 7--yPY7 Email: poss.rekctokilikeiver, coni Mailing address: /0 2 L L tIcrly Rai S City/State: .A LLM Zip: Gj 230.6 Job site address: $4 City/State: L,LA Zip: 9 7.&vj Parcel Information: Parcel Size: A 3' (�� Parcel No.:t3T3 w O% 13 0o Zone: A Proposed Building Information Describe specific use of the building and items contained within ricl'f i-t.)(4.L Qvi /I iv Noma_ V S-4.0.1c-c__ My, PerirWa Tcic a-s-I I i A s _ or Building Data: Length: j ` Width: b'r Area: `—t-'4,, ' _,A9s0 Height: /6 Type of Exemption: NAgricultural Building ❑ Forestry Building o Equine Faci rovide information below): What is the proposed maximum number of people(including employees, owners, etc.)Nwill be present in the building at any one time? a Will this structure be used by the public at any time? ❑Yes g No 1, Is the proposed structure located within a floodplain? ❑Yes A No Is the building located on/used in the operation of a farm? NYes . . Is the proposed structure a residential dwelling or manufactured .ome? A es X Is the use of the structure or the items within it used for a*busi •ss • commerci. activities? Yes ` or If yes,please explain: ,/- }v, 1Wcd.Ni�/ �bI i' p t�ny45 OWJen,#-i .4rC Agricultural/Equi r • • u tion is—Select all that apply: XStorage,maintenance,or repair of machinery, e jipment, a -plies used on this farm Raising,harvesting,or selling crops raised on t (Feeding,breeding,managemen .r s. • of livesto R.•ultry,furbearing animals, or honeybees ❑Dairying o 'airy p •duct• •roduced on this .rm ❑ Other . cultural,horti tur, , or imal husba ry used •l Sta• ng,training,riding le-'.;o clinics (Co, plete Equine Exemption Criteria) • of stalls/horses # • : ails/horses for per••nal use on y #of st. • /horses used fo commercial or trade purposes including boarding,training,rentals,clinics, shows, etc. W .ich of the followin. s stems will the s ro s osed structure have? Electrical ❑Yes 1 ' (Co plete Electrical Wiring Criteria) Will there be a con. et slab either within or adjacent to the building? oYes No Will there be farm an. als(poultry excluded)within the building at any time? AYes o No Will there be faun . imals(poultry excluded)on the slab at any time? ❑Yes ji No Will the building be used for storage of feed, hay, or straw? )fjYes ❑No Will the building be used for major repair of motor vehicle equipment? ❑Yes ,X No Heating/cooling/ventilation/mechanical ❑Yes N No Septic ❑Yes No (Any yes answer will require a separate permit) Plumbing(Please specify fixture type) ❑Yes /XL No Page 1 of 5