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Agricultural or Forestry Building Exemption Certificatio <br /> Equine Facili Exemption Certification M IA 1 2 2022 <br /> Marion County Public Works—Building Inspection Division <br /> Mt,�i.^� 5155 Silverton Rd.NE, Salem Oregon 97305 MARION COUNTY <br /> Ltr�"`4 ,IG INSPECTION <br /> e: (503)588-5147 Fax: (503)588-7948 Email:building�n,co.mgil <br /> O ,. 1 c 2 <br /> Site Plan is Required—see attached information <br /> Owner/applicant name:1FA-Nurseries Tag./. M„s.,At LXPhone: So? ,go$ a 7a 6 Email:sm krialr 490,,nvrsenes•co— <br /> Mailing address: Z36'& KL&peh9er-re) if)C- City/State: /tvrol'w oR Zip: /700 2- <br /> Job site address: 23 6VG kwpemjer td NE City/State: 4UCOrr* 0R Zip: 97002 <br /> Parcel Information:Parcel Size: aS.'7V AG Parcel No.: 23 6Y6 Zone: Et--"-CA <br /> Proposed Building Information <br /> Describe specific use of the building and items contained within Pok (wvh b -eMclose €x sI�� ww ''hkS used r <br /> (`cat,liouse_ irriact i oh. ()coyish Aver 4- lyi+^i'eriZvi+i ovi L.04-er fr r1ICS• <br /> Building Data:Length: a(I 1+ Width: a o P'+ Area: YIID •f t Height: 7y 4 <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? <br /> Will this structure be used by the public at any time? oYes A No <br /> Is the proposed structure located within a floodplain? oYes KNo <br /> Is the building located on/used in the operation of a farm? Isilres o No <br /> Is the proposed structure a residential dwelling or manufactured home? oYes 'R(No <br /> Is the use of the structure or the items within it used for any business or commercial activities? oYes >f No <br /> If yes,please explain: <br /> Agricultural/Equine Exemption Criteria—Select all that apply: <br /> jk 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 /> Electrical oYes 'X 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? oYes 1).(No <br /> Will there be farm animals(poultry excluded)on the slab at any time? oYes X No <br /> Will the building be used for storage of feed,hay,or straw? oYes 14 No <br /> Will the building be used for major repair of motor vehicle equipment? oYes X(No <br /> Heating/cooling/ventilation/mechanical oYes p(No <br /> Septic oYes X No (Any yes answer will require a separate permit) <br /> Plumbing(Please specify fixture type) oYes X No <br /> Page 1 of 5 <br />