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Agricultural or Forestry Building Exemption Certification <br /> Equine Facility Exemption Certification oc <br /> } D <br /> Marion County Public Works-Building Inspection Division 'Q <br /> Marlon 5155 Silverton Rd.NE, Salem Oregon 97305 <br /> COunty <br /> Phone: (503)588-5147 Fax: (503) 588-7948 Email: building ' co.mari'a.L A.;.0 <br /> OREGON <br /> Site Plan is Required-see attached information <br /> L . , I <br /> Owner/applicant name:STf4. Ll V t ri 3(Iii e _Phone 1 111 • v.16 a-Email: !ems 4„L.V! CY,I <br /> Mailin address: Z 'I' Ci /State: Zi : ? <br /> g � � 1. r.P�tl� t� �' P � ��J <br /> Job site address: City/State: Irt Zip: IL <br /> Parcel Information: Parcel Size:act A 4. Parcel No.: Zone: <br /> Proposed Building Information <br /> Describe specific use of the building and items contained within .n ,eto a/Aiert <br /> Building Data:Length:SO ' Width:,, . Area: AoLd0?,F. Height: 18 t <br /> Type of Exemption: leAgricultural 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 Feet ing at <br /> any one time? <br /> Will this structure be used by the public at any time? oYes e'1lo JUN 2 5 2024 <br /> Is the proposed structure located within a floodplain? oYes e< <br /> Is the building located on/used in the operation of a farm? des o No <br /> Is the proposed structure a residential dwelling or manufactured home? oYes ur115. <br /> Is the use of the structure or the items within it used for any business or commercial activities? oYes tpilb <br /> If yes,please explain: <br /> Agricultural/Equine Exemption Criteria-Select all that apply: <br /> '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 To(Complete Electrical Wiring Criteria) <br /> Will there be a concrete slab either within or adjacent to the building? oYes ego <br /> Will there be farm animals(poultry excluded)within the building at any time? oYes eNo <br /> Will there be farm animals(poultry excluded)on the slab at any time? oYes Lb <br /> Will the building be used for storage of feed,hay, or straw? oYes e1 To <br /> Will the building be used for major repair of motor vehicle equipment? oYes e'<o <br /> Heating/cooling/ventilation/mechanical oYes ego <br /> Septic oYes (Any yes answer will require a separate permit) <br /> Plumbing(Please specify fixture type) oYes ego <br /> Page 1 of 5 <br />