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Agricultural or Forestry Building Exemption Certification R E C E I /E D <br /> Equine Facility Exemption Certification <br /> Marion County Public Works-Building Inspection Division MAY 0 9 2C 24 <br /> Mo ntr� 5155 Silverton Rd.NE, Salem Oregon 97305 <br /> Phone: (503) 588-5147 Fax: (503) 588-7948 Email: building@co.marion.or.us <br /> OREGON <br /> Site Plan is Required-see attached information <br /> j� a D 'o <br /> Owner/applicant name: -� Rciwt Phone:59ti-7 Erik <br /> Mailing address: ILIA) Corwa . DqZ, City/State: Coc ,a,L tI , Z Zip: 9?330 <br /> Job site address:(I q I LI 14Lt 0 \\tL.. IjT?. City/State: LLWt 012- Zip: ?7 3I7 <br /> Parcel Information: Parcel Size: Parcel No.: Zone: <br /> Proposed Building Information <br /> Describe specific use of the building and items contained within 5raT1 t4( S L <br /> V3CIDTet3 <br /> Building Data: Length: 6o' Width: 4io l Area: oj900 rT 3 Height: RO <br /> Type of Exemption:XAgricultural 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? g <br /> Will this structure be used by the public at any time? oYes XNo <br /> Is the proposed structure located within a floodplain? oYes 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?Xies o No <br /> If yes,please explain:V, VATK) att ..TS cur dF 6-renA €. -to c,*-tcZ,y mitS <br /> gm., sae, Tim zt�u IO 5- tae‘r0 $TonE-iw �13. <br /> Agricultural/Equine Exemption Criteria-Select all that apply: <br /> torage,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 &es o No(Complete Electrical Wiring Criteria) <br /> Will there be a concrete slab either within or adjacent to the building? oYes 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 o No <br /> Will the building be used for storage of feed,hay,or straw? oYes o No <br /> Will the building be used for major repair of motor vehicle equipment? oYes o No <br /> Heating/cooling/ventilation/mechanical oYes No <br /> Septic oYes gNo (Any yes answer will require a separate permit) <br /> Plumbing(Please specify fixture type). oYes )(No <br /> Page 1 of 5 <br />