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Agricultural or Forestry Building Exemption Certification Equine Facility Exemption Certification Marion County Public Works-Building Inspection Division Marion 5155 Silverton Rd.NE, Salem Oregon 97305 CountyPhone: (503) 588-5147 Fax: (503)588-7948 Email:building ' co.marion .r.us_ PSite Plan is Required-see attached information +� Owner/applicant name: fdee,A blwEbo DANik. SCIi-airut> Phone: CS-6-5)941-64$(a Email: NML.OSCHNEAD ertAIL. cesw Mailing address: P,l'S. SLN 36,6 City/State: SALLP't/o1ZE6oJJ Zip: T?3D2_ Job site address: 2374 CROOi-D FINIVES- r.CD III€ City/State: SCorrS Pit AtzrzibkiZip: 4L377- Parcel Information: Parcel Size: 5 ACES Parcel No.: (1).7ZF 16,4pfi 236e Zone: Proposed Building Information Describe specific use of the building and items contained within HAW(1•YE_ t TO QPIC-E St' 'I COMTAJ VEHlCi51 FARM W(.t JT, Jl4,S`r�HtLO S Building Data: Length: gwi g(? Width: (00 Area: I Eerip9Drr Height: i$S ®aves Type of Exemption: Agricultural Building o Forestry Building o Equine Facility(Provide information below): What is the proposed maximum number of people(including employees, owners,etc.)that will be present in the building at any one time? 2.--1 Will this structure be used by-the public at any time? oYes - - Is the proposed structure located within a floodplain? oYes /No Is the building located on/used in the operation of a farm? i 'es o No ``-- Is the proposed structure a residential dwelling or manufactured home? oYes avlNo Is the use of the structure or the items within it used for any business or commercial activities? hes o No If yes,please explain: 11 w16512.. IFS SG.P'sa.i Agricultural/Equine Exemption Criteria-Select all that apply: -/Storage,maintenance, or repair of machinery, equipment, and supplies used on this farm a(Raising,harvesting, or selling crops raised on this farm o Feeding,breeding,management, or sale of livestock,poultry,furbearing animals,or honeybees o Dairying or the sale of dairy products produced on this farm o Other agricultural,horticultural, or animal husbandry used o Stabling,training,riding lessons, or clinics (Complete Equine Exemption Criteria) #of stalls/horses NlA #of stalls/horses for personal use only /A #of stalls/horses used for commercial or trade purposes including boarding,training,rentals, clinics, shows,etc. I.Di1k Which of the following systems will the proposed structure have? Electrical 14es o No (Complete Electrical Wiring Criteria) Will there be a concrete slab either within or adjacent to the building? adYes o No Will there be farm animals(poultry excluded)within the building at any time? oYes tAlo Will there be farm animals(poultry excluded)on the slab at any time? oYes Will the building be used for storage of feed,hay, or straw? oYes ei4o// `I Will the building be used for major repair of motor vehicle equipment? dyes o No AC.7u2/p-04,�E AesHeating/cooling/ventilation/mechanical Yes o No 705E i kr- e,4 ru J. Septic oYes �`io (Any yes answer will require a separate permit) Plumbing(Please specify fixture type) ❑YesNo Page 1 of 5