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ti"°�• Agricultural or Forestry Building Exemption Certification <br /> Equine Facility Exemption Certification <br /> Marion County Public Works—Building Inspection Division <br /> Marion 5155 Silverton Rd.NE, Salem Oregon 97305 P ��E <br /> Countt,�. ��' <br /> Phone: (503) 588-5147 Fax: (503) 588-7948 Email: building@co.m -' <br /> OREGON <br /> APR 2 5 2024 <br /> Site Plan is Required—see attached information MARION COUNTY <br /> Owner/applicant name: Ti31.�5 ...� Lin Phone: SC53-5TI-2fa3 Emgthilaikp;,� �� 1 <br /> Mailing address: 53,3q Rke Girds City/State: Sitve,(r . (VertZip: g735-I <br /> Job site address: 10 g A ili.•tso4 P.11 i L— City/State: )4.42‘vu-a (xy, Zip: (002.2 <br /> Parcel Information: Parcel Size: 338 at„e-s Parcel No.: Zone: E 'U <br /> Proposed Building Information <br /> pP <br /> l <br /> Describe specific use of the building and items contained within 4, s :�,�J� ;t°r, 51, <br /> Building Data:Length: I a b Width: fo 0 Area: ZOO Height: 16 P.4- ey-c.r <br /> Type of Exemption: (Agricultural Building ❑Forestry Building ❑Equine acility(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? 1111g•7 <br /> Will this structure be used by the public at any time? oYes XNo <br /> Is the proposed structure located within a floodplain? oYes XNo <br /> Is the building located on/used in the operation of a farm? XYes 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? IYes o No <br /> If yes, please explain: The. ( (),gss is a_. f={o-54ro,e. e .w4 lei <br /> • <br /> Agricultural/Equine Exemption Criteria—Select all that apply: <br /> X Storage,maintenance, or repair of machinery, equipment, and supplies used on this farm <br /> ❑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 /> ❑ 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 /> en i. hich of the following systems will the proposed structure have? <br /> rElectrical Wes )(No(Complete Electrical Wiring Criteria) <br /> Will there be a concrete slab either within or adjacent to the building? oYes KNo <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 No <br /> Will the building be used for storage of feed,hay, or straw? oYes No <br /> Will the building be used for major repair of motor vehicle equipment? oYes No <br /> II. Heating/cooling/ventilation/mechanical oYes No <br /> Septic oYes DQ No (Any yes answer will require a separate permit) <br /> Plumbing(Please specify fixture type) oYes ANo <br /> Page 1 of 7 <br />