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Agricultural or Forestry Building Exemption Certification Equine Facility Exemption Certification EC E 1 V E D Marion County Public Works—Building Inspection Division Marlon 5155 Silverton Rd.NE, Salem Oregon 97305 A 14 2024 CountyPhone: (503)588-5147 Fax: (503)588-7948 Email:building@co.marion.or.usAU� OREGON Site Plan is Required—see attached informa i Owner/applicant name: Mary M Burch Phone: 503-989-3587 Email: mmburchlool@gmaiH.com Mailing address: 14071 Wilco Hwy NE . City/State: Woodbum, Or Zip: 97071 Job site address: 14071 Wilco Hwy Ne City/State: Woodburn, OR Zip: 97071 Parcel Information:Parcel Size: 0,37 a-c Parcel No.: Zone: -Ccc,w, Proposed Building Information Describe specific use of the building and items contained within store feed and tractors-house farm animals Building Data:Length: 60 Width: 40 , Area: Height: /(/ Type of Exemption: o Agricultural Building o Forestry Building e 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? 3 Will this structure be used by the public at any time? oYes ./No Is the proposed structure located within a floodplain? oYes e No Is the building located on/used in the operation of a farm? eYes o No Is the proposed structure a residential dwelling or manufactured home? oYes •No Is the use of the structure or the items within it used for any business or commercial activities? oYes a No If yes,please explain: Agricultural/Equine Exemption Criteria—Select all that apply: e Storage,maintenance, or repair of machinery,equipment, and supplies used on this farm o Raising,harvesting,or selling crops raised on this farm e Feeding,breeding,management, or sale of livestock,poultry,furbearing animals, or honeybees o Dairying or the sale of dairy products produced on this farm e Other agricultural,horticultural, or animal husbandry used o Stabling,training,riding lessons, or clinics(Complete Equine Exemption Criteria) #of stalls/horses #of stalls/horses for personal use only #of stalls/horses used for commercial or trade purposes including boarding,training,rentals, clinics,shows,etc. Which of the following systems will the proposed structure have? Electrical eYes o No(Complete Electrical Wiring Criteria) Will there be a concrete slab either within or adjacent to the building? eYes o No Will there be farm animals(poultry excluded)within the building at any time? eYes o No Will there be farm animals(poultry excluded)on the slab at any time? eYes o No Will the building be used for storage of feed,hay,or straw? eYes o No Will the building be used for major repair of motor vehicle equipment? eYes o No Heating/cooling/ventilation/mechanical :Yes Kii,No Septic oYes ni No (Any yes answer will require a separate permit) Plumbing(Please specify fixture type) oYes in No Page 1 of 5 -• .