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Agricultural or Forestry Building Exemption.Certification <br /> Equine Facility Exemption Certification: <br /> Marion County.Public:Works—Building Inspection Division <br /> Marton 5155 Silverton Rd.NE,Salem Oregon. 97305 <br /> Country. <br /> Phone:.(503)588-5147 Fax: (503)588-7948 Email:building@a,co.marion.or.us: <br /> O= REGON` U 11E <br /> � <br /> Site.Plan:is-Required—see attached information <br /> Owner/applicant name: Brett Mikeska Phone: 9712182476., 1: brettmikeskal@gmafl.com <br /> Mailing address:.8390 Orlando Lane NE City/State: Salem; OR Zip:. 97303' <br /> Job.site,address:Same City/State: Zip:. <br /> Parcel Information:.Parcel Size; 11 acres Parcel No;: Zone: <br /> Proposed Building Information <br /> Describe specific-use of the building and items contained within Add lean to onto existing bam:on west side.Open dean to <br /> with.roof only and:will extend TO.ft out:.and match 60 ft length of existing barn. <br /> Building Data:Length 60 Width:"10 Area: 600_..... Height: 1 Oft <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 'U No. <br /> Is the proposed:structure located within afloodplain? ❑Yes I 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? oYes e No <br /> If yes,please.explain <br /> .Agricultural/Equine Exemption Criteria—Select:all that-apply: <br /> I 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,breedin&mriagement,or sale of'livestock,poultry,furbearing;ani pals,or honeybees <br /> o Dairying or the.sale of dairy products produced on this farm <br /> l Otheragricultural,horticultural,or animal husbandry used <br /> o Stabling,training,riding lessons,or cliinics.(Complete Equine Exemption Criteria) <br /> #of"stalls/horses <br /> #of stalls/lorses for personal use only <br /> #of stalls/horses Used for:cointnercial.or trade-purposes including-boarding;training,:rentals,clinics,shows,etc. <br /> Which°of the following systems will,the proposed structure have? <br /> Electrical oYes U No(Complete Electrical Wiring Criteria) <br /> Will there be a concrete slab either within or adjacent to the building? oYes .a No <br /> Will there be farm.animals(poultry excluded).within the building at any time? oYes ,a No <br /> Will there be farm animals(poultry excluded)on the slab at any time? ❑Yes: I No <br /> Will the building be used for storage of feed,hay,or straw? oYes a.No <br /> Will the building:be used for major repair of motor vehicle equipment? oYes U No <br /> Heating cooling/ventilation/nmechanical oYes S:No. <br /> Septic oYes Il No (Any yes answer will:require a separate permit) <br /> Plumbing.(Please:specify fixture.type) oYes s:No: <br /> Page 1 of 5 <br />