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—.F.f-zq-oo yPl Ll l-Prge <br /> Agricultural or Forestry Building Exemption Certification <br /> Equine Facility Exemption Certification <br /> Marion County Public Works-Building Inspection Division RECEI ED <br /> Marlon <br /> y 5155 Silverton Rd.NE, Salem Oregon 97305 <br /> 588-5147 Fax: (503) 588-7948 Email: building@co.marion.or.us,I t� q <br /> OR EGO ' ` ;w Q� o J U I� 2 6 O24 <br /> v [1 - <br /> 1 � _ _ Site Plan is Requiredsee attached information <br /> Owner/applicant name: Tim Zerkel Phone: 503 910 6117 Email: timzconstruction @yahoo.com <br /> Mailing address: 832 w Kathy st City/State: Stayton/OR Zip: 97383 <br /> Job site address: 10916 Mill Creek rd se City/State: Aumsville/OR Zip: 97325 <br /> Parcel Information: Parcel Size: Parcel No.: Zone: <br /> Proposed Building Information <br /> Describe specific use of the building and items contained within Storage for tractor, sprayer, misc tree farm tools <br /> Building Data: Length: 36 Width: 20 Area: 720 Height: 12 <br /> Type of Exemption: I 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? 2 <br /> Will this structure be used by the public at any time? oYes I No <br /> Is the proposed structure located within a floodplain? oYes II No <br /> Is the building located on/used in the operation of a farm? UYes o No <br /> Is the proposed structure a residential dwelling or manufactured home? oYes I No <br /> Is the use of the structure or the items within it used for any business or commercial activities? 1Yes o No <br /> If yes,please explain: Equipment used for christmas trees - Dy- Te, on 1\/ <br /> Agricultural/Equine Exemption Criteria-Select_ all that apply: <br /> I Storage,maintenance, or repair of machinery, equipment, <br /> ment, 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 •Yes o No (Complete Electrical Wiring Criteria) <br /> Will there be a concrete slab either within or adjacent to the building? lYes o No <br /> Will there be farm animals (poultry excluded) within the building at any time? oYes •No <br /> Will there be farm animals (poultry excluded) on the slab at any time? oYes a No <br /> Will the building be used for storage of feed, hay, or straw? oYes II No <br /> Will the building be used for major repair of motor vehicle equipment? oYes I No <br /> Heating/cooling/ventilation/mechanical oYes P No <br /> Septic oYes P No (Any yes answer will require a separate permit) <br /> Plumbing(Please specify fixture type) oYes I No <br /> Page 1 of 5 <br />